HomeMy WebLinkAbout040995 - Electric (fixtures) No _ ° 4-
CITY OF OSHKOSH �u 9 9 5
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC\iii] PLBG ❑ SIGN ❑ ZONING _ FLOOD PLAIN HEIGHT
ADDRESS /F2 Co ei01)/t'L ->. - PLAN NO.
OWNER <,64,-.44. 'X...---z-------
DESIGNER
USE/NATURE OF WORK
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 av—e4_[i( ti.iA.'u AtrAiA_fre____
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Z Circuits
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 t /0 0 ,c7 0 Permit Fee Paid $ /0,U 0 ✓ Park Dedication $
ISSUED BY Date ey // y - Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE alA-0'
AGENT/OWNER DATE
ADDRESS TELEPHONE