HomeMy WebLinkAbout0028400-Electric (a/c)CITY OF OSHKOSH N® 28400
` PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS lIC1 J PLAN NO.
OWNER =
DESIGNER
USE /NATURE OF WORK Xr % le,17
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
# Rooms # Stories Height .
Class of Const. Occupancy Permit
ELECTRIC CONTRACTOR
`Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
_BT WH
Lav — Sh
WC FDr
— Sink — LTub
Other
FEES: Value
ISSUED BY
. ✓-7
Disp
_ DW
SP
— Eject
Heat Loss
Volts Amps
Circuits /
WSoft
DF
Ur
SS
BTU'S
CBasin
San. Sewer_
Storm Sewer
Water
Permit Fee Paid $ /'_^ Park Dedication $
Date 3_7 Final /O.P. .__.S —1411_
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e,— 1W f ZI A
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
SIGNS
INSP. ROUGHIN SERVICE FINAL
EST. COST ,L �c9 �' PERMIT FEE 1,5 -wATE PD.S S Z
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