HomeMy WebLinkAbout0048242-Electric (a/c)
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CITY OF OSHKOSH N~ ' 48242
PERMIT - APPLICATION AND RECORD
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR 4 -
/
Electric Servo New 0' Change 0 Temp 0
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp _WSoft - CBasin
_DW _DF - San. Sewer
-SP _Ur - Storm Sewer
-Eject -SS -Water
_Lav
_WC
_FDr
_LTub
_Sink
Other
FEES: Valuation $
ISSUED BY
/
( /
Permit Fee Paid $ 0 ,
Date III Oli ':J"--
I f
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
AGENT/OWNER
DATE
ADDRESS
TELEPHONE'