HomeMy WebLinkAbout0024749-Electric (temporary)_CITY OF OSHKOSH N° 24749
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~~G ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ / PLAN NO.
OWNER '?~~ `'"~
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation 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 ~S Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH
Lav Sh
WC _ FDr
4
-Sink LTub
Other
- Disp
DW
SP
-Eject
- WSoft
- DF
- Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
/ e
FEES: Valuation '- Permit Fee Paid $ < ~ Park DedicationQ$
ISSUED BY Date ~~ ~~-~~~ Final/O.P. [~ ~'~!!
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS_
DATE
TELEPHONE #
p,DDRE S
NATURE OF WORK
~._.
R MARKS