HomeMy WebLinkAbout033048-Electric (bath remodel)CITY OF OSHKOSH N° 33048
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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OWNER
DESIGNER
USE/NATURE OF WORK
PLAN NO.
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 T7`O L'_,~ r~ .p ~~~ e ,
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ``Switches _ Receptacles Circuits ~ -
PLUMBING CONTRACTOR
- BT -- WH _. Disp - WSoft
- CBasin
-Lav -Sh -DW -DF
-San. Sewer
- WC - FDr - SP - Ur
-Storm Sewer
- Sink - LTub -Eject _. SS
Other - Water
FEES: Valuatio $ ~ v
"- Permit Fee Paid $ ?~ ~ ~p~ -"' Park Dedication $
ISSUED BY Date ,J '~~~ ~/ ,~
Final/O.P. /t/oNt
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNA
AlitN ~/OWNER
ADDRESS
~!~
DATE
TELEPHONE #