HomeMy WebLinkAbout0042485-Electric (exit lights)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
(plf3
N~-42485
~P.E~ . . ~L~~ .~ _ ~T~. C? _ ~~E~ Jtf. ~~B~. C? _ ~I~~ .C? . ~O_N~N~ _ . __ _ _ _F~~~D_ ~~I~ _ _ _ . _ _ ~~I~~T. . _ _ .
ADDRESS / Y-C; ~,# - PLAN NO.
OWNER ~.A~ ~
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR #~ P /~
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
/
1'\- '/
Permit Fee Paid $ ~ < <J 0 ,
, Date /;(7/9 ~
Park Dedication $
Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENTfOWNER
DATE
ADDRESS
TELEPHONE #