HomeMy WebLinkAbout20089 - Electric (svc change) CITY OF OSHKOSH N9 20089
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEQ 1N PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS . - f �/At 4 1'-�� nit /
_ PLAN NO.
OWNER
DESIGNER
zyUSE/NATURE OF WORK QAj)..',-c, � ',,e5.
,. '[u- -c,-/ coed
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--
Electric Serv. New ❑ Change KTemp ❑ Type_a_L-i l Volts 0 Amps (a 0
Fixtures x Switches x Receptacles Circuits � -- 20.
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 $ d7G/ a----� Permit Fee Paid $ 7G� Park Dedication $
ISSUED BY -7 Date `2--.Z ' fe) Final/O.P _ 114- <G/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I/ - �.NT/OWNER `'
a. DATE
ADDRESS
TELEPHONE#
r
PERMIT NO, L APP , 712.1L2 , / /
L
.4 ,
•
!LEO. CONTR. Ak t , gi"--
MIIIMMMOMOMMWOM
OWNER 441 / /
ADDRESS /13/ '�! 'v'rv‘-
NATURE OF WORK
ELEC. SERV. NEW �/ ° CHANGE TEMP.
DESC. TYPE f - t�- VOLTS 13,- --,9- 6.4-e AMPS /./ 0
FIX' S SW' S RECEPT' S CIRC' S
APPLIANCES V
SIGNS (G,�ifc�)
INSP. ROUGHIN c� SERVIC 2R-L-it-�'D FINAL&''-I-90
;GI CQG °' PtNIIT Ytt 7(:•00' iiii itats