HomeMy WebLinkAbout0014705-Electric (a/c)~ CITY OF OSHKOSH N°_ .14705
~' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~~ y ~~~~ `°r S~ ~~• PLAN NO.
OWNER ~Ob~ y~Gl~/!t-~~~/1~-
DESIGNER
USE/NATURE OF WORK ~ ~ ~- .
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
# Stories
BTU'S
ELECTRIC CONTRACTOR ~%~.-~~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches ~~ Receptacles Circuits ~~
PLUMBING CONTRACTOR
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
Class of Const
Disp WSoft CBasin
DW DF -San. Sewer
SP Ur
Eject SS
Height .
Occupancy Permit
-Storm Sewer
Water
FEES: Valuation $ PJ d Permit Fee Paid $ ~ Park Dedication $
ISSUED BY ¢
Date C~ '~ ~,L p
/ ~a ~ Final/O
P
~-7 ~~ /
.
.
In the performance of this work I agree to perform atl work pursuan::o rules governing the described construction.
SIGNATURE ~' ~%~ ~~ ~ ~/
AGENTIOWNER DATE
ADDRESS
TELEPHONE #
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