HomeMy WebLinkAbout0025004-Electric (porch remodel)CITY OF OSHKOSH N°_ 25004
n PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC [~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
------------------------------ ------------------------------------
ADDRESS _ ~ ~' '~ ~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
Sq. Ft
BUILDING COP
Size
Foundation
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR l.~' ~ ~2~ ~~.~ ~vt
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures '-'-twitches C--- 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: Valuatio $ ~-~~ S Of
Permit Fee Paid $ ` Park Dedication $
ISSUED BY p-
Date a ^~~ - Ll Final/O.P. ~ 'r! ~ ~~
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE ~2 G
ENT/OWNER DA
ADDRESS
TELEPHONE #