HomeMy WebLinkAbout0041885-Electric (garage)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
(p tl
N2-41885
~P_E~ _ _ ~L~~ _~ _ o:r~ _ ~ _ ~'-:? j ~LB~ _ ~ _ SI~~ _~ _ ~O~~N~ _ _ _ _ _ _ _F~~D_ ~~'N _ _ _ _ _ _ ~~'~HT_ _ _ _ _
::N:E:S )/::~ ~~tA7 PLAN NO
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
,
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR jt ~ ;::tJ-J..., /~ -
Electric Servo New 0 Chan e 0 Temp 0 Type_ V Its_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
1/' ~
FEES: Valuation $ ,2-- Permit Fee Paid $
ISSUED BY ~~~(~ Date
i
/
~~~!
/O/3/Q Cf
t, 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
DATE
AGENT/OWNER
ADDRESS
TELEPHONE #