HomeMy WebLinkAbout0023479-Electric (remodel)CITY OF OSHKOSH N°_ 23479
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER
DESIGN
PLAN NO.
USE/NATURE OF WORK ~ eVYf~'ltl ~t f
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
Height .
Occupancy Permit
# Rooms # Stories
Class of Const.
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
ELECTRIC CONTRACTOR _~U''e h n 'U
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps -
Fixtures L~witches receptacles '~-~---- Circuits `"~~
PLUMBING CONTRACTOR
BT -WH
Lav _ Sh
- WC _ FDr
-Sink _ LTub
Other
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- Disp - WSoft CBasin
- DW - DF -San. Sewer
SP Ur _ Storm Sewer
-Eject _ SS _ Water
ac o~
FEES: Valuation $ ~ ---- Permit Fee Paid $ ~C ~ `"~- Park Dedication $
ISSUED BY Date / ~~ ~' ~/ Final/O. P.
In the performance of this
1 agree to perform all work pursuant to rules governing the described construction.
AGENT/OWNER
ADDRESS
BTU'S
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DATE
TELEPHONE #