HomeMy WebLinkAbout1995-Electric (a/c)
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CITY OF OSHKOSH N246107
PERMIT - APPLICATION AND RECORD
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USE/NATURE OF WORK ("]) W ~ (I ~
ADDRESS
PLAN NO.
OWNER
DESIGNER
BUILDING CONTRACTOR
Size
Foundation
Sq. FI.
# Rooms
# Stories
Height
Occupancy Permit
Class of Consl.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR j"'þAf.-L
/'
Electric Servo New 0 Change D Temp D
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FDr
_Disp
_DW
_WSoft
_DF
- CBasin
- San. Sewer
_WC
_SP
_Ur
- Storm Sewer
_Water
_Sink
Other
_LTub
- Eject
_SS
ISSUED BY
/
Permit Fee Paid $ 15:"". ð () i/
Date 7!v:>!rlr
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
AGENT/OWNER
ADDRESS
TELEPHONE.