Loading...
HomeMy WebLinkAbout0027610-Electric (code corrections) /� CITY OF OSHKOSH N° 27610 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ / c �� �l,- 7 T !f ��' � PLAN NO. OWNER � / f�` L �"V / ti � v'� c . �c / DESIGNER USE/NATURE OF WORK C f �`-Q C �< � � l G� l � �?'fi-�<< �!� —� 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_ `� � �/C � f� � 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: Valuation $ �� Permit Fee Paid $ /��v Park Dedication $ 6 • 3 ��r�z ISSUED BY Date , , ''3 /l 9��inal/O.P. �. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � ' ' SIGNATURE � l� C � L�� C�C� � � ��— ��� AGENT/OWNER DATE ADDRESS TELEPHONE# , n yq� - f £ �`J //' P � PERMIT NO.� / �! v . APP . DATE Z ` ��-L— : � � , � � ELEC. CONTR. � OWNER G�i�'�Al � ; � _ � , ; 'ADDRESS `� f NATURE OF WORK i � � � � � � �'LEC SERV. NEW CHANGE TEMP. e' � D C. TYPE VOLTS AMPS � � FIX' S � � SW' S RECEPT' S CIRC' S � � APPLIANCES � E ' S I'GNS E ; INSP ROUGHIN S ERVI CE F INAL�—!/— 2� `� EST COST /S� — PERMIT FEE ��_ _DATE PD. //� � � � REMARKS � � � , x �