HomeMy WebLinkAbout013512 - Electric (AC) CITY OF OSHKOSH N° 13512
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC,' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2-0) 7 /t -f d 5..Yt?n PLAN NO.
OWNER L-0 0 f S 13664-c,-,
DESIGNER
USE/NATURE OF WORK j' e�
I
BUILDING CONTRACTOR
Size Sq. Ft. # Dooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR 5en/lc�t.--- _ E
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps (�
Fixtures Switches 1—"/ Receptacles Circuits V \ 1
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 rQ L° t
$�,--�� Permit Fee Paid $ i Park Dedication $
ISSUED BYG ,Z!�i� Date ---2+-2- — Y7 Final/O.P. .7-.2 —.e7/9
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �' C q�
AGENT/OWNEF# Z� /
D E
ADDRESS
TELEPHONE#
yam. ..
PERMIT N0, � APP . D
4 /7 /
L!CI. CONS.
•
CWNER .i
ADDRESS l) f
NATURE OF WORK �*
Lam( ." ��--
ELEC. SERV. NEW CHANGE TEMP,
DESC. TYPE VOLTS AMPS
FIX' S SW'S RECEPT'S CIRC'S
APPLIANCES
1
SIGNS
INSP. ROUGHIN SERVICE FINAL i-?1-a7
EST. COST / , ° PERMIT FEE /6 "r -DATE PD.s 31-87
REMARKS