HomeMy WebLinkAbout0030668-ElectricCITY OF OSHKOSH N° 30668
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^
----------- HTG ^
------ ELEC ®~PLBG ^ SIGN ^ ZONING
----- FLOOD PLAIN HEIGHT
ADDRESS ~ ~
_
'`~ ~--+ --------------------
~ ~~. ~ ,9 --------------------------
PLAN NO.
OWNER
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
- Lav - Sh
- WC - FDr
-Sink ._ LTub
Other
- Disp
- DW
- SP
-Eject
- WSoft
- DF
- Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
- Water
o~.
FEES: Valuation $ ~QQ Permit Fee Paid $ ~~~ Park Dedication $
ISSUED BY ~_ Date -ll `~~---r-~~al/O.P.
In the performance of this work I
SIGNATURE
ADDRESS
perform all work pursuant to rules governing the described construction.
//-1Z.
DATE
TELEPHONE #