HomeMy WebLinkAbout0018011-Electricn CITY OF OSHKOSH N°_ 18011
`' PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ^ HTG ^ ELEC ~ PLBG ^ SI,GN ^ ZONING FLOOD PLAIN HEIGHT
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AUUHt55 ~ '-" ® '- - - ! PLAN NU.
OWNER ~
DESIGNER
USE/NATURE OF WORK i~~"~"¢'`J
BUILDING CONTRACTOR i
Size Sq. Ft.
Foundation # Ro oms # Stories
Class of Const. Height
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System i
I Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New D~Change ^
Fixtures ySwitches Temp ^
~ Rec Type ~ ~ Volts ~ '~~
eptacles V Circuits Amps ~~°~
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
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"~ A ~ .e ~~-
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f .. d ~- -
rtts vawauon ~ - - _ Permit Fee Paid $ / " `"r Park Dedication $
ISSUED BY Y'
In the performance of this work-l-agree to pe~tgrm all
SIGNATURE
Date '~ ,~ 7 ~ ~~ Final/O.P
pursuan:o rules governing the described construction.
~ 7 ~ci
DATE
ADDRESS
'~ TELEPHONE #
PERMIT NO. ~~~ G~ ~,PPL. DATE ~ `- h `~
REMARKS
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