HomeMy WebLinkAbout0016171-Electric~ CITY OF OSHKOSH N° 16171
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ .ZONING FLOOD PLAIN HEIGHT
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i
ADDRE~
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~~ Amp~~~
Fixtures t' Switches /
y Receptacles -~ Circuits `~
~°
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
ISSUED BY
In the performance of
SIGNATURE
ADDRESS
J Permit Fee Paid $ / ~ ~y Park Dedication $
'Z Date !~'"- -~ ~ ~/ Final/O.P. j~'" ~ ° ~~
agree to perform all work pursuant to rules governing the described construction.
,,~ ,/ 1 -~
/O ER DATE
TELEPHONE #
REMARKS -