HomeMy WebLinkAbout0014047-Electric (boiler)_CITY OF OSHKOSH N° 14047
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
OWNER
DESIGNER
PLAN NO.
USE/NATURE OF WORK f~~Il~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft,
# Rooms
Class of Const
# Stories
Height _
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~ ~~lt~
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
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FEES: Valuation $ Permit Fee Paid $~(~ Park Dedication $
ISSUED BY Date ~ , ~~ ~/ Final/O.P. ~ "~~ ~O /
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNA
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #