The URL can be used to link to this page

Home My WebLink About0018059-Electric � ' . CITY OF OSHKOSH N° 18059 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � ?� PLAN NO. OWNER �-��-�,'f� DESIGNER USE/NATURE OF WORK��-2Q� BUILDING CON7'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 ELECTRIC CONTRACTOR / ..s.. �� 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 _ o v ._.-�� FEES: Valuation $ � Permit Fee Paid $ � Park Dedication $ ISSUED BY Date � —� / —�� Final/O.P. � ` l 7�// In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATU � � AGENT/OWNER DATE ADDRESS TELEPHONE# � - � � � � � ' PERMIT NO.f �� • , APPL. DATE `� �� ELEC. CONTR. ` 'z'`�-- € ; . € � � OWNER � � P,DDRESS S � �'�� NATURE OF WORK � � �'*F^ SERV NEW CEiANGE _ ��• '� VOLTS p►I"IPS FIXCS TYP---�W' S RFCEPT' S CIRC'3�( � � Ap ANCES � � � SI'GNS ' INSP. ROUGHIN SERVI CE F INAL 5`-'7 y ` � EST COST ��S'� PERMIT FEE �4�` DA T E PD. /�-p0� ; REMARKS � � .i F E , � ! � �