HomeMy WebLinkAbout0019924-Electric (move meter)n _CITY OF OSHKOSH N° 19924
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK ~ v cz ~~
PLAN NO
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 '
Electric Serv. New ^ Change~Temp ^ Type,,~L-c.! Volts Amps / 'C1
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 $ - C~ Permit Fee Paid $ ~a- Cry Park Dedication $
ISSUED BY 3``~
Date ~ ~ ~` ~C/
Fi
l/O
P
a na
.
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ~ ~~ ~ ~~ ""~~ ~ ~~
AGENT/OWNER DATE
ADDRESS
TELEPHONE #