HomeMy WebLinkAbout0004113-Electric (a/c)CITY OF OSHKOSH N° 04113
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEt~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS_
OWNER-
DESIGNER
USE/NATUf
PLAN NO.
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
HEATING CONTRACTOR
Neat ^ A/C ^ Vent ^ Fuel/System
Class of Const
Heat Loss
# Stories
BTU'S
ELECTRIC CONTRACTOR d-~ G L 1~ ~~~r('_ i C--
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles ~ Circuits
r
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 $ ~ Permit Fee Paid $ 5Fs ~ ~~i Q ey Park Dedication/$
ISSUED BY Date ~ `~ ` `"~ C~ ~ Final/O.P. l~ " ! -
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~G^- ~ t~ (O
AGENT/OWNER TE
# Rooms
Height .
Occupancy Permit
ADDRESS
TELEPHONE #
~ ~~ ~i 3
REMARKS
OWNER ~ c} ~~ ~/