HomeMy WebLinkAbout0014923-Electric (pool)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
14923
~YP:: . . BLD~ .r:: . ~T~.l? ~~EC iPLBG. O. SIGN .0 . ZON~NG. . . . . . F~~D PLAIN. . . . . . H~I~HT . . . .
I~~ ~~Wu~
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
rexL
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const,
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~~. W'0(
Electric Servo New D Change D Temp D
Switches 1><--- Receptacles
zf&; i@rG J
~CL'
Type_ Volts_ Amps_
Fixtures
)C
Circuits
y
1JJ
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
ISSUED BY
~.
6J C7 Permit Fee Paid $
Date
3' :5- ~ Park Dedication $
;?-//~?y Final/O.P. g'-//-67
In the performance of this w
I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
.437 1/) 1)
DATE
ADDRESS
TELEPHONE #