HomeMy WebLinkAbout0021850-Electric (x-ray machine)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21850
TYPE: BLDG D HTG 0 ELEC iPLBG 0 SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
-Z7y-/~ g(JJ.UB~
,()<. 6tf~
"5J-
PLAN NO.
ADDRESS
DESIGNER
/x~
/l)fJe/A ;.S&
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~qU(,(<'~~~el
Fixtures
Switches
~c> .
r
Amps_
/
cil-
Electric Servo
New D Change D Temp D
Type _ Volts_
Receptacles
Circuits
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
ISSUED BY
Park Dedication $
Final/O.P.
k I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #