HomeMy WebLinkAbout003168-Electric (ballast)~ ~
/~ CITY OF OSHKOSH N° 33168
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~`- i~ PLAN NO.
OWNER OS~,C~~ In n~~c ~~yC~l~'-~-~ir~F-
DESIGNER
USE/NATURE OF WORK~~ ~ ly\.'~ ~~ y ~L ~ f I ~-t2~n 1 C ~ ~.¢-S ~-
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 I o u.~ v~ s ~~ti.•i-r ~I ~~ ~• ~-E2.1 ~ =~1n •
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT _ WH _ Disp - WSoft
- Lav _ Sh _ DW _ DF
- WC _ FDr _ SP _ Ur
- Sink _ LTub _ Eject _ SS
Other
FEES: Valuation
ISSUED BY~
SIGNA~
l~
rermit ree rasa ~ r ~2c~ ~ _- - Park Dedication
Date ./ '~~-~`~,~_ Final/O.P.
- CBasin
-San. Sewer_
-Storm Sewer
Water
r'3
DATE
~3fI-/so a
TELEPHONEaY
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.