HomeMy WebLinkAbout0012848-Electric (dishwasher)CITY OF OSHKOSH No 12848
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ r)~~~ C~ / ^a PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK~1~!'~~ GUC~ C to N
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 ~ ~ ~ 11 t? _ ~ ~C'. C...
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches ~_ Receptacles Circuits ~~
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav _ Sh _ DW DF - San. Sewer
- WC FDr SP _ Ur - Storm Sewer
-Sink _ LTub Eject - SS - Water
Other
V '~ ~~77 p
FEES: Valuation $ ,,
Permit Fee Paid $~~/ Park Dedication $
ISSUED BY Q
Date ~ ~ l3 v~ Final/O
P
~ v~~ ~~
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In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNA
AGENT/OWNER
ADDRESS
~ /3
DATE
TELEPHONE ~