HomeMy WebLinkAbout0046378-Electric (a/c)N°438
CITY OF OSHKOSH
PERMIT ~ APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER
PLAN NO.
DESIGNER
~ ~ A
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft. # Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~~~~~'i-G-~~~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
-BT - WH
- Lav _ Sh
- WC _ FDr
- Sink _ LTub
Other
- Disp
- DW
- SP
-Eject
- WSoft
- DF
- Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ ~ ~ ~ . O O Permit Fee Paid $ ~ O ' o o Park Dedication $
ISSUED BY Date FinaUO.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
DATE
TELEPHONE M