HomeMy WebLinkAbout0014689-Electric (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION A.ND RECORD
14689
TYPE:
BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
15~/
!tYf\M
61 ')tha-rvk- .
w'JJ
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
A (c'~
I
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Cons,.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~
~
Fixtures
New D Change D Temp D Type - Volts - Amps - /fL.n /
Switches ~ Receptacles Circuits c..--- {/ ~
Electric Servo
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _DF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
Permit Fee Paid $
Date
~
/d1'~
7-~-g-/
Park Dedication $
Final/O.P. y-t.i -??
ISSUED BY
In the performance of this work I agree to perform all work pursuan~ :0 rules governing the described construction.
SIGNATURE
:b~ ~-
F/07
AGENT/OWNER
ADDRESS
TELEPHONE #