HomeMy WebLinkAbout0002369-Electric (addition) CITY OF OSHKOSH No 02369
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC*PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
71 2� --ADDRESS ' PLAN NO.
je OWNER ') 27? /� -
DESIGNER
USE/NATURE OF WORK A/4.-'1. 1
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 )`rte /P /C
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � ,�J}
Fixtures �?C Switches \..___f3eceptacles -.Circuits /V�
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 $ a -- - Permit Fee Paid $ / --2-- kV
e2-- --
Park Dedication $
ISSUED BY arn � Date /02- J — 7I Final/O.P. Ag/Y.5C-,
In the performance of this work I agre--to perform all work pursuant to rules governing the described construction.
A— i/ /*" / �
SIGNATURE � a
AGENT/OWNER DATE
G
ADDRESS
TELEPHONE#
PERMIT NO. C..%' ,2 16 APPL. DATE /--7 i L/ — K6
ELEC. CONTR. w: =L-� z
OWNER c�--
ADDRESS -7/7Z) — oA
NATURE OF WORK c+edt
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX' S p� 9 a-- _ RECEPT' S — CIRC' SS.
APPLIANCES
SIGNS
INSP. ROUGHINtA' - t 2 5- 74 SERVICE FINAL/2 -I$- 86
EXT. COST o7 670—. PERMIT FEE/, j_— DATE PD./.-/J - F6
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