Loading...
HomeMy WebLinkAbout0002200-Electric (temporary) CITY OF OSHKOSH No 02200 _ PERMIT APPLICATION AND RD _ RECO TYPE: BLDG ^ HTG ^ ELEC LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ------------ ~ ----- ~~~ ---------------------------- ~ Q' ~ ~Sf7 ~~' ----------------------- ADDRESS - PLAN NO. OWNER ~ ~ C DESIGNER USE/NATURE OF WORK ~ ~ ~'e ~~ ~ ~ ~ ~''~ ~Q ~ n ~/ ~G'- 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 ^ Change ^ Temp ~ype Fixtures Switches Receptacles . Heat Loss BTU'S Volts / `'~ r Amps Q - 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 o FEES: Valuatio $ ~ ermit Fee Paid $ ~`-'J^ Park Dedication $ ISSUED BY Date ~~ -~ L~ ~ Final/O.P. ~(~ ^ 2 4 ~U In the performance of this work I agree to perform all work pursuant to rules governing the described construction. AGENT/OWNER ADDRESS/ TELEPHONE #