HomeMy WebLinkAbout0002223-Electric (boiler)/~ CITY OF OSHKOSH No 02223
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS 17 I `'F _ (1 ~ ;
OWNER
USE/NATURE OF WORK
PLAN NO
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Meat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
r
ELECTRIC CONTRACTOR Y I ~[+~ t : G s~J~ ~ (3 ~~,
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches -~ Receptacles Circuits x,
PLUMBING CONTRACTOR
BT _ WH Disp WSoft
Lav - Sh -DW -DF
WC FDr SP Ur
-Sink LTub Eject SS
Other
CBasin
-San. Sewer_
-Storm Sewer.
Water
FEES: Valuation $ Permit Fee Paid $ ~-z- // Park Dedication $
ISSUED BY Date ~~- ~ "~L~ Final/O.P. ~~ "~~~~
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/VWNER
ADDRESS
DAy
TELEPHONE #
-~~s~or. nn~~r. 4
~-t./ .