HomeMy WebLinkAbout0017030-ElectricCITY OF OSHKOSH N° 17030
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~BG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ V ' PLAN NO.
OWNER ~~
DESIGNER //
USE/NATURE OF WORK L.~G~/ ``-~~>~~--~~.
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 [L]i(~ange ^ Temp ^ Type Volts Amps'
Fixtures -~.._ Switches Receptacles a Circuits
PLUMBING CONTRACTOR
BT -WH
- Lav Sh
- WC - FDr
-Sink - LTub
Other
Disp ', - WSoft
DW DF
-SP Ur
- Eject ' - SS
O p '" V
FEES: Valuatio $ ~~--~ Permit Fee Paid $ ~~/-~-' Park Dedication $
ISSUED BY Date ~ "-/ ~ ~o Final/O. P. ~~ - /
In the performance of this work t agree to perform all work pursuant to rules oovernina the descrihed construction.
SIGNATURE / 7 ~~
DATE
ADDRESS
- CBasin
-San. Sewer_
-Storm Sewer
Water
TELEPHONE #
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P R NO.