HomeMy WebLinkAbout0029532-Electric CITY OF OSHKOSH N °- 29532
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC jg• PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ci6 % '�G'�cn� 4e.,- • PLAN NO.
OWNER �N44C2' x a,,e,Jlc94-) ,ct., . G l
DESIGNER ,,
USE /NATURE OF WORK /(.. � � 5e--,e � l / +40 6 , ZT'x.
see.4., . 3 0 /��a leo 41 (ex,e9,,7,o • • /1 7
«• • 3)6 /a °� s/d 1 r)=4.9 e:2.4".
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 `'` ' e c �' C= C '
Electric Serv. New ❑ Change J' Temp ❑ Type C•`'"' Volts Amps vg-
Fixtures l/ Switches (/. Receptacles d Circuits P �41
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
FEES: Valuati $ eQ Permit Fee Paid $ v Park Dedication $
ISSUED BY I� �' Date " / ~� 0 "9-02- Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE G;& .C .. /g 9
AGENT /OWNER ! D E
ADDRESS
TELEPHONE #
PERMIT NO. APPL. DATE 1 - y Z- -
E C. CONTR.
OWNER /e;'i/L e-".7X /Z
ADDRESS . ° - Le/et-4 ` Y---
NATURE OF WORK (
ELEC. SERV. NEW CHANGE TEMP .
MSC. TYPE Ix/ <1 i VOLTS /j AMPS - 0
FIX' S PC SW' S A__ RECEPT' S , C CIRC' S o'c'
APPLIANCES v
GN . , 'f
N • . ROU N ;AWCWINAINSHEilia F IN AL
EST. COST O PERMIT F 1 S DATE PD - "2.
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