HomeMy WebLinkAbout0039626-Electric (a/c)Cv1 ~
/~ CITY OF OSHKOSH N~ .39626
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS o~ J .5
OWNER
DESIGNER
USE/NATURE OF WORK
PLAN NO.
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 ~/~i ~~.,,,
--
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches 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 $ D 0 • O o Permit Fee Paid $ _10 . c o '~
-Park Dedication $
ISSUED BY ~- Date Z Final/O.P.
In the pertormance f this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE Tip ~~ - Z _
7 /7~
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
Amps