HomeMy WebLinkAbout0027747-Electric (lights)_CITY OF OSHKOSH N° 27747
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
--------------------------------------------------------------------
ADDRESS ~! n (A~ ~7 rH/T yL. PLAN NO.
OWNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
# Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR A~~~ EZ~C?L°iL
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ~~ Switches Receptacles Circuits ~
PLUMBING CONTRACTOR
BT - WH
Lav Sh
- WC _ FDr
-Sink LTub
Other
- Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ J ~ ~~ a`"~-Permit Fee Paid $ ~~~5~ -~~ ~ ~ Park Dedication $ p
ISSUED BY Date .,L-~~,~ Final/O.P. ,~ ".~ '/.Z
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
~-~~-Gla
DATE
TELEPHONE #