HomeMy WebLinkAbout0018345-Electric (a/c)~ CITY OF OSHKOSH N°_ 18345
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS lL--
OWNER
DESIGNER
USE/NATURE OF WORK
S
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
PLAN NO
Height .
Occupancy Permit
# Rooms # Stories
Class of Const.
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR _~~`j' ~~ .
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches ~ Receptacles Circuits ~~
PLUMBING CONTRACTOR
BT WH
Lav Sh
WC FDr
-Sink LTub
Other
Disp
DW
SP
Eject
W Soft
DF
Ur
SS
CBasin
San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ • ~ Permit Fee Paid $ • ~ Park Dedication $
ISSUED BY Date -~v ~ `~ Final/O.P. J '~y ~~~
In the performance of this work I agree to perform all work pursuan::o rules governing the described construction.
SIGNATURE ~' `~ ~~G ~ ~ ~ [ O
AGENT/OWNER
ADDRESS
DATE
TELEPHONE #
F.ST COST ~ G ~ =~ PERMIT r'EE /!J ---" 17A'1"r: Y1~.`~ -ss ~v
REMARKS
NA R OF WORK
'~'* ~'r'. SERV NEW CHANGE TEMP .
~~c~+ Z+ypE VOLTS AMPS
FIX'S SW'S ~~ RECEPT'S CIRC'S ~
AA AT T1f:NC'F_'S _