HomeMy WebLinkAbout0004253-Electric (a/c)CITY OF OSHKOSH N°_ 04253
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~ !~ Y I '~ PLAN NO.
OWNER n!~ nU / n Y ~'S /91~~ r
DESIGNER
USE/NATURE OF WORK ~/ /'~Gc ~ ~C / ~ 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 I' f O ~ n
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches ~" Receptacles
PLUMBING CONTRACTOR
-BT -WH
- Lav Sh
- WC - FDr
-Sink - LTub
Other
Volts Amps
- Circuits ~
- WSoft
DF
Ur
SS
FEES: Valuation ,$
ISSUED BYE
- Disp
- DW
- SP
-Eject
- CBasin
-San. Sewer_
-Storm Sewer
Water
Permit Fee Paid $ ~~ Park Dedication $
Date - ~lS ,/ Final/O. P. C~ '-~d ~O
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
A(UENT/OWNER
ADDRESS
~ ~~~~
DATE
TELEPHONE #