HomeMy WebLinkAbout0019473-ElectricCITY OF OSHKOSH N? 19473
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS a `~ ~~ ~' PLAN NO.
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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
ELECTRIC CONTRACTOR
Electric Serv. New Change ^ Temper ^ Type
Fixtures witches `Receptacles .
Volts Amps
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
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FEES: Valuation $ 04 `` Permit Fee Paid $ l X90 ~ Park Dedication $
ISSUED B Date ~"~~g ~~ Final/O.P. Cd ~ °Z! '~~d
In the performance of this I agree top orm all work p rsuant to rules governing the described construction.
SIGNATURE ! O O~'
AG T/OWN DATE
ADDRESS
TELEPHONE #
Heat Loss
BTU'S
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