HomeMy WebLinkAbout0047963-Electric (new service)CITY OF OSHKOSH N~ 47963
PERMIT ~ APPLI ATI NAND RE RD
C O CO
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~~'
OWNER i!~ti
DESIGNER
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 ~.lt/J~'~-tom ~'v~
Electric Serv. New Change ^ Temp ^ Type
Fixtures Switches Receptacles .
Volts3 (~ Amps~~~
Circuits
PLUMBING CONTRACTOR
_BT -WH
Lav _ Sh
- WC _ FDr
-Sink _ LTub
Other
- Disp _ WSoft - CBasin
- DW _ DF -San. Sewer
- SP _ Ur -Storm Sewer
-Eject - SS _ Water
FEES: Valuation $ Z'QD ~ ~ ~ ~ Permit Fee Paid $ ~~ ~ ° ~ Park Dedication $
ISSUED BY ~ Date d ~' L
Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE M
PLAN NO