HomeMy WebLinkAbout03613 - electric (wiring Fan0 CITY OF OSHKOSH No 03613
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC V PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS_ 6 /2 Jf Wr-o 77 PLAN NO.
OWNER J. 46 IV /S #€' 177&?
DESIGNER
USE/NATURE OF WORK )/1/;r% fir ,t' i7
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 Ii 4 !rG 7-/d'Z. —
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches 1/ 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 Ci --1-- 1_, a 6 /
FEES: Valuation $ /� Permit Fee Paid $ ' Park Dedication $
ISSUED BYI�` .e.,Z_ Date 7 �— 77
Final/O.P. � "`
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNAT It;,77 7
y% AGENTOWNEFi
DA
ADDRESS
TELEPHONE#
PERM ' N0. :PP , DATE w
éELEC► CtR, ,J
OWND hi i,- ili../401/
,
ADDRESS / - ,)1/1./ V..G 11- ,
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX' S '/- 2 RECEPT' S CIRC' S
APPLIANCES (CJ -
'L_/
SIGNS C//f
INSP. ROUGHING/ -3 -Zt-- '2 SERVICE • FINAL 5 /-17
EXT. COST PERMIT FEE DATE PD F-Y$'7
REMARKS
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