HomeMy WebLinkAbout0030840-Electric (addition)CITY OF OSHKOSH N4 30840
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~ /U PLAN NO.
OWNER 1~i1~'~ ~~
DESIGNER
USE/NATURE OF WORK Q~ ~"'"`~-
BUILDING CONTRACTOR
Size
Foundation
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ~~ f. Z -e ~~-~ c- ~ ~ L
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ~ Switches _~ Receptacles ___,~_ Circuits
PLUMBING CONTRACTOR
- BT _ WH Disp - WSoft
-Lav - Sh -DW -DF
- WC _ FDr SP Ur
- Sink _ LTub -Eject SS
Other
- CBasin
-San. Sewer.
-Storm Sewer
Water
OU DG /
FEES: Valuation $ ~rmit Fee Paid $ ,y 3Ls f_ Park Dedication $
ISSUED B Date ~ ~~ y.~ Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
Sq. Ft,
# Rooms
9-~~ -gr
DATE
TELEPHONE #