HomeMy WebLinkAbout0046894-Electric (service cable)~3 ~
CITY OF OSHKOSH N°_ 46894
PERMIT - APPLI TI NAND RE ORD
CA O C
TYPE: BLDG ^ HTG ^ ELEC~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS
PLAN NO.
i
OWNER ~.~~~~~~ ~~C.
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~f~~~~~_
Electric Serv. New ^ Change~ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
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: Valuation $ ~~Q ~ d ~ Permit Fee Paid $ 7
° ' ~
" Park Dedication $
ISSUED BY Date n
r
1
a Z 7 ~~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER pq~
ADDRESS
TELEPHONE ~