HomeMy WebLinkAbout0045933- Electric (switches) (p(v
CITY OF OSHKOSH
N° 45933
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC‘,( PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /0 f 3 Piz PLAN NO.
OWNER (
DESIGNER
USE/NATURE OF WORK
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 CONTRACTORGed,C.a. z.,—/ r,
Electric Serv. New ❑ Change El Temp ❑ Type Volts Amps
Fixtures Switches —1/ Receptacles P Circuits Z-----
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
FEES: Valuation $ D O • 0 O Permit Fee Paid $ 7-o ' O O Park Dedication $
ISSUED BY Date 77///9 )� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER DATE
ADDRESS TELEPHONE#