HomeMy WebLinkAbout0026589-Electric_CITY OF OSHKOSH N°_ 26589
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS ~ ~ PLAN NO.
OWNER I
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 ~ hange ^ Temp ^ Type
Fixtures '~ Switches v Receptacles .
_ Volts Amp
~ ~/
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
FEES: Valuation $
~ Dom- e
Permit Fee Paid $
~~
P
k D
di
i
ar
e
cat
on $
ISSUED BY /
~~7
Dater '" ~ /
~ ~- (o - 9 ~
Fin
l/O
P
, a
.
.
In the pertormance of this work I agree to perform ajt' work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
%~ 9 9'/
DATE
TELEPHONE #
PERMIT NO . cx ~J ~ y / APPL . DATE C ~~ ~ 2
.,
ADDRESS ~ 9/ v ~~
~•Y
NATUR OF WORK
R nRXS -