HomeMy WebLinkAbout0046245-Electric (a/c)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
101~.
N!! 46245
DESIGNER
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USE/NATURE OF WORK ~ ~ LI
ADDRESS
PLAN NO.
OWNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR S tf(
Electric Servo New 0 Change 0 Temp 0
Type
Volts
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
FEES, Valuat;o" $ I~ 00
ISSUED BY k-
Permit Fee Paid $ ('f' . c? i
~r:/,"""
Date"'7; .) f ~
Park Dedication $
FinaVO.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 #