Loading...
HomeMy WebLinkAbout0019815-Electric (addition) � CITY OF OSHKOSH N° 19815 `' PERMIT - APPLICATION AND RECORD NPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. ' r OWNER DESIGNER USE/NATURE OF WORK dd�L� 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 CONTRACT�R I G'� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures �� Switches �eptacles �--£ircuits �—'� 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 � �J FEES: Valuation $ ��� Permit Fee Paid $ ^-�/ f� Park Dedication $ ISSUED BY � Date�— �—�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU AGENT/OWNER DAT ADDRESS TELEPHONE# � � � ' RNl T 1�T0. � � G �� . APPL. DATE T —3 �� � � _2E I ; � � � ELEC CONTR � ° Z% � �L2� G:�%�=.E�C € � OWNER ��' � � � � ADDRESS � — � � � NATURE OF WORK � � �'LEC SERV NEW CHANGE TEMP. _ � DESC TYPE VOLTS �S — � a � FIX' S L SW' S ,�-RECEPT' S �e CIRC' S °G � APPLIANCES � � ; SI�GNS t � INSP ROUGHI ` �3-9 SERVICE FINAL � EST COST �OC>�� PERMIT FEE �L� -- DATE PD. '}�°pd ; REMARKS _ � ; � - � jP 1 F