HomeMy WebLinkAbout024301 -Electric (Move meter outside) CITY OF OSHKOSH N°_ 24301
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC g/PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 2 3- 71.7.%e C/f t PLAN NO.
OWNER ,2-2/1,1 -.--'J 4t-
DESIGNER
USE/NATURE OF WORK 27-14,-1,1° l
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-77- C-7/.4......-Z4-
Electric Serv. New ❑ Change ❑ Temp ❑ TypeelV Volts/2 -"Amps ere 0
Fixtures Switches Receptacles Circuits
l'...E.,)-
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 47
FEES: Valuation $ v0 Permit Fee Paid $ Park Dedication $
idISSUED BY 4 7 Date 7-/7 y// Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �/ er. 1y( ,/ ," "R �o2/9(E
t_ ` AGENT/OWNER
ADDRESS
TELEPHONE#
pERM2T NO. .Z j e/
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TRESS -.
NATURE OF WORK -
D EC. SERV•
A Ix S c. TypE 1�� - �'I-7 ��,
ppLlAivCES SW'S ko VOGE�;"
LTS 1�
SIGNS RECEpT S o TEAT
INSp• St d
EST• COST CIRC�S ,�
REMARKS T oa PERMIT
RMIT _L. !'
FEE fs% FINAL
DATE pD7/)=.�