HomeMy WebLinkAbout0014865-Electric_CITY OF OSHKOSH N° 14865
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~~ ~ ~~ Y PLAN NO.
OWNER ~''~- ~ _"`.
DESIGNER
~C~
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
ELECTRIC CONTRACTOR
Electric Serv. New ~r/hange ^ Temp ^ Typ
Fixtures ~ Switches `~ Receptacles V
~~~
Amps ~ ~"~
Circuits /"
e
PLUMBING CONTRACTOR
BT WH
Lav _ Sh
WC FDr
-Sink LTub
Other
BTU'S
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ ~ Q `~-Permit Fee Paid $ ~~QQ Park Dedication $
ISSUED BY Date ~~U ~~~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
A ENT/OWNER ATE
ADDRESS
TELEPHONE #