HomeMy WebLinkAbout0008412-Electric (fixtures & switches) CITY OF OSHKOSH No 08412
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC,) PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS f – °Z /(/:€4,715 PLAN NO.
OWNER /„{:0
DESIGNER
/ / /
USE /NATURE OF WORK -__ — j �� . .i ' J - �_.
•
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
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures 7 Switches 2C Receptacles Circuits
C f
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: Valuatio $ Permit Fee Paid $ P� Park Dedication $
ISSUED BY Date 5 Q' '25 - u Final /O.P. G - 2 2 8$
In the performance of / ork I agree to perform all work pursuant to rules governing the described construction.
fr SIGNATURE �.. i /�. i� • ! .� , - / 1 ; AGENT /OWNER 6...
ADDRES
TELEPHONE #
PERMIT NO. e) ?i APPL. DATE 5 -7Y
ELEC. CONTR. 4
OWNER
ADDRESS Y —
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S / RECEPT'S CIRC'a'
APPLIANCES
SIGNS p<.
INSP. ROUGHIN SERVICE FINALIO-Z -4
EST. COST 4,400-- PERMIT FEE DATE PD5 -Z5$f
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