HomeMy WebLinkAbout1994-Electric~~~
N~ 38600
/~ CITY OF OSHKOSH
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ .J PLAN NO.
OWNER
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 1~~~ ~~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures swir~~eS ~ Receptacles -~/ 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 $ DO O ~ Permit Fee Paid $ 5 O • 'e ~ Park Dedication $
ISSUED BY Date ~~3 `~ C1 SC Final/O.P.
In the pertormance
SIGNATURE
ADDRESS
work I agree to pertorm all work pursuant to rules governing the described construction.
~" n // _
AGENT/OWNER
DATE
TELEPHONE #