HomeMy WebLinkAbout0019474-Electric_CITY OF OSHKOSH N°_ 19474
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC [~~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~°~.~ /~ `~'~~ ~ PLAN NO.
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 ^ Temp ^ Type
Fixtures ~~ Switches '"~- Receptacles
Volts Amps ~
Circuits
~/
PLUMBING CONTRACTOR
BT _WH
Lav Sh
- WC FDr
-Sink LTub
Other
Heat Loss
BTU'S
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuati n $ o
~~ ~ ~~ / ~i0 0
Permit Fee Paid $ '~
Park Dedi
ti
$
ca
on
ISSUED BY ~ ` l~
Date ~~ Final/O
P
~ ~~ ,~~
, .
.
In the performance of this work I
SIGNATU
ADDRESS
. /~.~a,
DATE
to perform all work pursuant to rules governing the described construction.
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