Loading...
HomeMy WebLinkAbout1992-Electric (city re-hab) � CITY OF OSHKOSH N° 27636 `' PERMIT - PPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /7 ADDRESS 7S � PLAN NO. OWNER �1�^ 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 C(�NTRACTnR �Z C � / C— . Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures��_ Switches—� Receptacles�— 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 FEES: Valuati n $ ���• � Permit Fee Paid $ G7�•� Park Dedication $ ISSUED BY Date �� ` ��. Final/O.P. ,� ��o � ��—'- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� ' AGENT/OWNER DATE ADDRESS TELEPHONE# � ; : � PERMIT NO. � tr , APPL DATE �' � ��-�2- � � � . � � E C. CONTR. �'t- ' � � � OWNER u � �� ' � � �� ��� � ADDRESS � NATURE OF WORK � , t � � � �'T��'C SERV NEW CHANGE TEMP. ; C. TYPE VOLTS AMPS � � FIX' S ' SW'S RECEPT' S ./�f�CIRC' S � ; � ���� : � F,PPLIANCES _ ` , � t �IGNS ' � INSP ROUGHIN _ SERVI CE _ F INAI.✓2-��Y2 � � EST COST Sf�� -� PERMIT FEE ��/�DATE PD. --�� k REMARKS � i � { � � � f 3 � � � k