HomeMy WebLinkAbout0016864-Electric (fixtures)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16864
TYPE: BLDG D HTG D ELEC ~.. D SIGN D ZONING
FLOOD PLAIN
HEIGHT
DESIGNER
PLAN NO.
ADDRESS
OWNER
(-->
d~/tu?[[ ~.;.)t-,
.......--
~~~~
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
r;
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System Heat Loss
ELECTRIC CONTRACTOR ~ !:~d ih,~
Electric Servo New d Change ~mp D Type 6N- Voltsl~*o
Fixtures 4 Switches )? Receptacles '- Circuits
<.. '-
BTU'S
Amps ZdV '2 rrr. C~:S
/~ ~.,
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ LTub _ Eject _SS _ Water
Other
l'...
FEESo valuat~ ""-- Pe,mlt Fee Paid $
ISSUED BY ~'[ Date
/
5cP~
/ ~ 5 -.7'C
Park Dedication $
Final/O.P. 'f r g -10
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
:::::::E ;U;;:~ I ~i!o
TELEPHONE #