HomeMy WebLinkAbout0017778-Electric (code corrections)_CITY OF OSHKOSH N°_ 17778
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ISUU C _~ OIt/Ly. l~~•
PLAN NO
OWNER ~ ~, ~ TI Y L~
DESIGN
USE/NATURE OF WORK
~~ ~
BUILDING CONTRACTOR
Size
Foundation
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Class of Const
Heat Loss
# Stories
Height .
Occupancy Permit
BTU'S
ELECTRIC CONTRACTOR __ ~ ~ G ~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ~_ Switches ~ Receptacles ~_ Circuits .~
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
- Lav Sh _ DW DF San. Sewer
WC FDr SP Ur Storm Sewer
-Sink LTub Eject SS Water
Other
FEES: Valuation $_/~n. ~~ Permit Fee Paid $ ~y• ~ Park Dedication $
ISSUED B Date ~ - ~~ ~ Final/O.P. 2` ~ l /
In the performance of
SIGNATURE
Sq. Ft
# Rooms
work I agree to perform all work pursuant to rules governing the described construction.
AGENT/OWNER
ADDRESS
Q
DATE
TELEPHONE #
~L 7~ ,APP ~A ~~oZ9~~~
~~
REMARKS
OWNER ~~ G 1
APPLIANCES