HomeMy WebLinkAbout0035995-Electric (food center)~ ~/
/~ CITY OF OSHKOSH N° 35995
`' PERMIT -APPLICATION AND RECORD
TYPE _ -BLDG ^ HTG ^ ELEC~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESSLU / ~F (~/
/~ PLAN NO.
OWNER /~/,C .~C,L~C /Jj•(Q~~
r
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 CSC. ~~ v~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Rece tacles
p
Circuits
PLUMBING CONTRACTOR
- BT - WH - Disp ~ WSoft
- CBasin
-. Lav - Sh _ pW - DF
-San. Sewer
- WC . - FDr - SP - Ur
-Storm Sewer
- Sink - LTub -Eject _ SS
-Water
Other
FEES. Valuation ~~~~ o'J Permit Fee Paid $ ~ ~ ~ ~
Park Dedication $
ISSUED BY Date 3
Final/O.P. `7 °c~ D - ~ q9 '~
In the performance of this work I agree to perform all work pursuant to rules governing the describPrl ~-0nstruction.
SIGNATURE
ADDRESS
/~ ~~
DAT
TELEPHONE N