HomeMy WebLinkAbout0032688-Electric (misc.) CITY OF OSHKOSH N_ 32688
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC js PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 W 4 - V h , PLAN NO.
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OWNER / l (� 4 !/ 4 l'�.. r --- B -e...
e 10-14„, efri .i t / !'l e , 'h - .
DESIGNER // /
USE /NATURE OF WORK 7 C /� ��/ Gr' 1 ' — ''fir :S - / ?e pt
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./ ' i y i% if /" r r (ov •
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps 13j
Fixtures Switches G _. Receptacles I— -� Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ ` ". b �— Permit Fee Paid $ �v/ c� Park Dedication $ q
ISSUED BY / //f _ -,—..•:-/ Date 2 /2" f 3 Final /O.P. 2- /ate `
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ' / ' T /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 3 C . APPL . DATE / - - / 3
ELEC. CONTR. /
OWNER G r
ADDRESS i /- -
"NATURE OF WORK
ELEC. SERV. NEW CHANGE TE .
DESC. TYPE VOLTS AMPS
FIX'S P . SW'S P_ RECEPT'S OL CIRC'S
APPLIANCES
SIGNS
INSP OSTGHIN j PERMIT FEE FINAL
EE 5 DATEPD.2 3
EST. COST I 4dC
REMARKS
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