HomeMy WebLinkAbout019481 - Electric (house) .\ CITY OF OSHKOSH N° 19481
9 PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [ 'CBG ❑ IGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / ✓ ig 7X---\r ('' PLAN NO.
OWNER "'„
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 ae
Electric Serv.,�'�New �hange ❑ Temp ❑ Type Volts Amps2 a — •
Fixtures_IX---- 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: Valuation ${ ✓5-0 0 Permit Fee Paid $ < ea r� Park Dedication $
ISSUED BYpij,C %Z Date 7 J� L Final/O.P. CJ -1 -` 1;0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE Al -j V
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AM.' DATE
ADDRESS
TELEPHONE#
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PERMIT N0, , APPL, DATE
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OWNER &,..z.e.--tcd
ADDRESS /f/ L1-.'s--
NATURE OF WORK i
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE ? <-'- - L-' VOLTS /�' - c' AMP S<5 v
FIX' S 7,.. SW' S ,L RECEPT' S .J, CIRC' S/
APPLIANCES v-
SIGNS it-1
INSP. ROUGHINOP .4,-). -, SERVICE ''''5-3i- FINALf--/L`9
NT i cWil 1-41C L'.-- NNVZ ; --' MI; N' -fr ('
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