HomeMy WebLinkAbout040245 - Electric (wire pool) CITY OF OSHKOSH N°- 40245
n PERMIT -- APPLICATION AND RE
RECORD
TYPE: BLDG ❑ HTG ❑ ELEC) PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / i V 9 /97,.41— 1 't ' - PLAN NO.
OWNER 164,7 4) 4
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 e;71,+1`11.z-t h'J/L-� /IV?
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles 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: Valuatio $ 7---0 0" 0 CJ Permit Fee Paid $ /S .c'`.'' Park Dedication $
ISSUED BY 3 � �f� Date 0/'V Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.�r�� (3 3 I
SIGNATURE )---J— ,75- U 1
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
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1
t?7-, le S APPL DATE I?'4' I 6 S‘�RMIT NO.
SILC
1 Min s
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OWNER —'
ADDRESS Y /1 i�
AD �
NATURE OF WORK •NEW CHANGE AMPS
ELEC. SERV. VOLTS MPS
DESC- 'TYPE SW' S RECEPT' S
FIX` S
APPLIANCES
SIGNS SERVICE FINAL �'
IN SP. ROUGHIN o 17: 1,
DATE PD-
EST. COST =c' L., PERMIT FEE S°
REMARKS