HomeMy WebLinkAbout0005136-Electric
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
05136
FLOOD PLAIN
HEIGHT
TYPE: BLDG 0
OWNER
DESIGNER
USE/NATURE OF WORK
Id~0Z-
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
Electric Servo New t2<..- Change 0
Fixtures ~witches
~
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
:::..-::--- 1-,- 0
Permit Fee Paid $ (../ a ~
Date ?~27-g-1
Park Dedication $
Final/O.P. ...3' -~2--83
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
r!L~
AGENT/OWNER
SIGNATURE
DATE
ADDRESS
TELEPHONE #
O"lNER
05111
~-5-$Z
pERMIT NO.
EI-,EC. CONTR.
TEMP.
A~S /~CI
CIRC'S