HomeMy WebLinkAbout0042799-Electric~ ii
CITY N~ 42799
OF OSHKOSH
PERMIT - AP
PLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC j~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
p ~ /L ~ ---
ADDRESS _o~-a ~~ /~~'/~i?.I~ L~~ ~~ PLAN NO.
OWNER
DESIGN
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
# Rooms # Stories Height
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ~ Change ^ Temp ^ Type Volts~~ Amps-v'
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT _ WH _ Disp
.- Lav _ Sh _ ply
- WC _ FDr _ SP
-Sink _ LTub _ Eject
Other
- WSoft - CBasin
-. DF -San. Sewer
- Ur _ Storm Sewer
- SS -Water
FEES: Valuation $ ~ ° ~ ~ ~ ~ ^ Permit Fee Paid $ ~® • ~ ~ Park Dedication $
ISSUED BY ~~ -~~ ~~ Date ~//L~~ S` Final/O.P. ~t/ l ~~ / s
In the performance of this work t agree to perform ali work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
DATE
TELEPHONE M
~/
PERMIT NO. 7 ~~9~I . APPL. DATE f ~~~-
~*~C CONTR ~~~ ~''~
OWNER ~~
0
FIX'S SW'S ~ RECEPT'S _CIRC'S
R~$1 RKS