HomeMy WebLinkAbout0033215- Electric (1993) CITY OF OSHKOSH N- 33215
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 0 HTG ❑ ELEC ,►M PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS
21 4Y-- • PLAN NO.
OWNER t 6.,,,/,,,e,
DESIGNER
USE/NATURE OF WORK6/74
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BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat 0 A/C 0 Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR SZ- u'
l `v
Electric Serv. New ❑ Change Temp 0 TypeJ�� Volts Amps l'U
Fixtures Switches `x Receptacles X Circuits
PLUMBING CONTRACTOR
BT _WH _Disp —WSoft —CBasin
Lay —Sh —DW —DF .—San. Sewer
WC _FDr _SP —Ur .—Storm Sewer
_Sink _LTub —Eject —SS —Water
Other
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FEES: Valuation$ D id J Permit Fee Paid $ 5" Park Dedication $
ISSUED BY/�„'�, " - Date 3 J P ✓ Y_i Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE AGENT/OWNER DA
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ADDRESS , • �� TELEPHONE#