HomeMy WebLinkAbout1987-Electric (swimming pool)_CITY OF OSHKOSH. No
PERMIT APPLICATION AND RECORD
05167
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT'
ADDRESS_ // -.~' PLAN NO.
OWNER
DES
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
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,,$ ~~ "'~ Permit Fee Paid $ ~ ~ `~~ 4 Park Dedication $
ISSUED BY Date 'r~ ~~a T Final/O.P. _~~ ~ ~ 4
In the pertormance of this work I agree to pertorm all. work pursuant to rules governing the described construction.
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SIGNATURE
DATE
ADDRESS
TELEPHONE #