HomeMy WebLinkAbout1996-Electric (remodel) /� CITY OF OSHKOSH N° 19442
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [��LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS (� b '3 PLAN NO.
OWNER ��// S
DESIGNER :
USE/NATURE OF WORK
BUILDING CON1'RACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
EL'ECTRIC CONTRACTOR
Electric Serv. New [��hange ❑ Temp ❑ Type Volts Amps �°� �
Fixtures � Switches '� Receptacles t-� Circuits �—
PLUMBING CONTRACTOR
BT _WH _Disp WSoft —CBasin
—Lav _Sh _DW _DF —San. Sewer
—WC —FDr _SP —Ur —Storm Sewer
—Sink _LTub Eject —SS _Water
Other
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G �[ pC
FEES: Valuation $ ����Permit Fee Paid $ /-���� Park Dedication $
ISSUED BY Date � � �� <�_ Final/O.P. ti /3D I ��
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � �
AGE OW R DATE
ADDRESS
TELEPHONE 8
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PERMIT NO. Q �� . APPL. DATE � /7 ! ��
E C. CONTR.
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OWNER �
A�DRESS � � ,j — w � ��CY
`NATURE OF WORK
. SERV. NEW � CHANGE TEN'SP-
E — /� VOLTS z 7- AN4� � D
FIX' S SW'S RECEPT' S I 'S
ANCES -`►�'
O
� S �GN
N P. ROUGH N SERVI '�1 N -�31��
� EST. COST e PERM T FE -- DA D. '/ -9
� REMARKS
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