The URL can be used to link to this page

Home My WebLink About0009144-Electric (a/c) � _ CITY OF OSHKOSH No 09144 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS q� ( a CLJ � �/) PLAN NO. OWNER��GZ �//r� � � L � .SG(/< DESIGNER USE/NATURE OF WORK__- �/ i� C� vl d BUILDING CONI'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 O e � {'1 �- ��l e�- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches � Receptacles Circuits L�� 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 / �i�� / 0 FEES: Valuation $ Permit Fee Paid $ ! � �� Park Dedication $ ISSUED BY Date ,/ —,�� Final/O.P. �� v �o In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ,�� 07 G�y SIGNATURE�`' �-->' �- �� ( � o 0 AGENT/OWNER DATE � ADDRESS TELEPHONE# � � � �� PERMIT NO. � � APPL. DATE � -Z� � ' � �� ELEC. CONTR. �i� �-��2� � , � � OWNER �l � ADDRESS < � � " � -" / � � NATURE OF WORK r � ELEC. SERV. NEW CHANGE TEMP. � FIXCS �PE SW S VOLTS � AMPS� , ' � RECEPT S CIRC � APPLIANCES � � SIGNS _ g � INSP. ROUGHIN SERVICE FINAL7-�-i�g � EST. COST G�� PERMIT FEE -Z_-- - � DATE PD' -�- REMARKS € P _ � � � � �