The URL can be used to link to this page

Home My WebLink About0021583-Electric (change cable) � CITY OF OSHKOSH N°_ 21583 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��5 �7 � �� PLAN NO. OWNER�`1 Y�S �"�v�Jj �S DESIGNER USE/NATURE OF WORK C i'JG��7� C �/7 I '2 : BUILDING CONT'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 �' � Electric Serv. New ❑ Change ❑ Temp ❑ Type� �'`�' Volts J `�� Amps�� . . � F�xtures 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 � � y� Permit Fee Paid $ ` .� �— Park Dedication $ ISSUED BY Date l�—�� `� Final/O.P. �4 � �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU,� /�� '��(� '7CJ AGENT/OWNER DATE ADDRESS TELEPHONE# . ` ; { 4 PERMIT NO. � ./ 5 � � ••APPL. DATE �� '�'� ,�) f �A 1�. ELEC. CONTR. 'l�� -� ' OWNER `i��/o-�� (.,�C. � / a ADDRESS / J -� �� NATURE OF WORK �,. � ELEC. SERV. I�TEW GE TEMP. DESC TYPE 3 � ��-- -O h`VOLTS ��- ��G' AMPS � FIX' S SW' S RECEP S CIRC' S APPLIANCES � `;, S I GN S �--�.�. `'�. INSP. ROUGHIN SERVICLC� ` C '13 •y6 FINALL'-Z.3.21' � EST. COST =1�e�' "-�- PERMIT FEE � °`� DATE PD. /'(�- C% REM.ARKS