HomeMy WebLinkAbout0033020-Electric~~~
~ CITY OF OSHKOSH N° 33020
`'' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ®~YLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS o?.3~a ~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
# Rooms # Stories
Class of Const.
Height
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
v
ELECTRIC CONTRACTOR '
Electric Serv. New ^ Change ^ Temp ^ Type -
Fixtures (~" Switches r/ Receptacles '-
Volts Amps
-. Circuits
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
t~ a
FEES: Valuation $ OZ ~''~~ Permit Fee Paid $ ~/ ~ Park Dedication $
ISSUED BY Date 3 ~~ ~p-3 Final/O.P.
In the pertormance of this work I a ree to pertorm all work pursuant to rules governing the described construction.
SIGNATUR ~- ~f ~$
AGE T/OWNER SATE
ADDRESS
TELEPHONE #
Sq. Ft.
PERMIT NO.
3
3 -y-~
REMARKS
s-a~ c y~sa~~ v+rv