HomeMy WebLinkAbout0026588-Electric_CITY OF OSHKOSH N° 26588
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ Q ~ 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 [~Ehange ^ Temp ^ Type Volts Amps~Jv'~ ~""~'
Fixtures ~~itches 'Receptacles `"" Circuits ~`""--
PLUMBING CONTRACTOR
BT WH
Lav _ Sh
- WC FDr
-Sink _ LTub
Other
- Disp WSoft CBasin
DW _ DF _ San. Sewer
- SP Ur Storm Sewer
-Eject SS Water
FEES: Valuation $ ~~
Permit Fee Paid $ ~ ~~
P
k D
ISSUED BY ~//
~ O ~' 4 ~ q
Date l~ ~~ - ! ~ ar
edication $
Fi
l/O
na
. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR Q~~ ~1'-/-'~
ENT/OWNER DATE
TELEPHONE #
PERMIT NO . ~ ~ ~D APPL . DATE ~~ ' S-
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