HomeMy WebLinkAbout0019660-Electric_CITY OF OSHKOSH N° 19660
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~
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 Heat Loss BTU'S
ELECTRIC CONTRACTOR ~' ~ ~ ~~~~~~_®fJ//~_~E~C
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ~_ Switches ~ Receptacles ~ Circuits
i~~
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
FEES: Valuatio $ ~~ ~ Permit Fee Paid $ ~~ /~ Park Dedication $
ISSUED BY Date ~"' 3 ~ `~~/ Final/O.P. ~ /a
In the performance oft 's rk I agree to perform all rk pursuant to rules governing the described construction.
SIGNATURE 6
AGE W R DA E
ADDRESS
TELEPHONE #
PLAN NO.