HomeMy WebLinkAbout0018814-Electric (2nd floor) CITY OF OSHKOSH N°_ 18814
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC p ' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS // Z f' lira! PLAN NO.
OWNER ee // f ° <- V s
DESIGNER A( / /
USE /NATURE OF WORK t ?� / c k 11,17 $ 1-- i( ` c c_` i-01,-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR / 5; .7‘31061 c
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles ?"c" Circuits - c , ` °
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
GO'Q`o1 O f i
FEES: Valuation $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date G 7 !e, Final /O.P. `7 1
In the performance of this work I agree to,: -rform all work pursuant to rules governing the described construction.
/ J
SIGNATURE / i ∎�-
AGENTIOWNER DATE
ADDRES
TELEPHONE #
PERMIT NO. / / . .P . DATE 1 7 1- 1.7 -5 0
ELEC. CONTR.
OWNER
ADDRESS G j ` �� Ga 76.1
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S fSW'S C>L RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE � FINAL 4 - ' 7 40
EST. _COST BOO - PERMIT FEE7O �- /DATE PD.4 -?O
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