HomeMy WebLinkAbout022813 - Electric (04/03/91) CITY OF OSHKOSH N2 22813
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Ai PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0/7`-- V.--e-1-11e/71. PLAN NO.
OWNER . � ye, 4.-GQ.,d�E �
DESIGNER
USE/NATURE OF WORK k"-. -- - ,,,,,,,G 7_,e,
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 1
y
Electric Serv. New t�Change ❑ Temp ❑ Typ: Volts if` Amps /OU
Fixtures _ Switches A Receptacles Circuits "t _
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
/� fir% v t''
FEES: Valuation $ �(.. Permit Fee Paid $ I Park Dedication $
ISSUED BY 1 Date --;—7/ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (.� r jei/,e - _�-
AGENT/OWNER DATE
ADDRESS .20")`7 ../1-27 reae",/UL,,v X753 '/a 6
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