HomeMy WebLinkAbout030686 - Electric (House) CITY OF OSHKOSH N° 30686
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Fa--"PLBG ❑ SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /7% "6Y
PLAN NO.
OWNER '` . c'-e�s+�-� •
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
______‘ar„.., .
ELECTRIC CONTRACTOR
Electric Serv. New Change ® Temp ❑ Type Volts Amps --'°T-11
xtures t Switches Receptacles Circuits ��—
Fixtures (..---- '°9'
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 C-' cam- Permit Fee Paid $ t o Park Dedication $
ISSUED BY 41 ? Date 7-1-1 -" Final/O.P.42 I/ - va
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 9� )..__,
:..E T/OWNER DATE
ADDRESS
TELEPHONE#
PERMIT NO. . APPL. DATE 7----/7—Y _____�
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ELEC. CONTR. l / ��� C�
OWNER ��� 1-/--,.0 ilf,C���t
ADDRESS /7 r `�-4?& z-1-y <
NATURE OF WORK ■ o
ELEC. SERV. NEW X CHANGE TEMP,
DESC. TYPE 3 - u, - v-bL VOLTS ,-Z 4-R' AMPS /6'
FIX' S SW'S x RECEPT' S CIRC'S 2S
S •
IN P. ROUGHIN °f� -`-/ - ' '� ERVIC :1 ,� FINAL _ // s12
EST. COST �V..= PERM T FE : '� DATE PD. -it-pz
REMARKS f 5e,d i 36 `--