HomeMy WebLinkAbout1990-Electric (porch addition)/`'~ CITY OF OSIiKOSH N4 22003
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRE~
OWNER
DESIGNER
USE/NATURE OF WORK_ ~h--t~ ~ /_~~~~~~~ '
BUILDING CONTRACTOR
Size Sq. Ft.
Foundation
# Rooms
Class of Const.
# Stories
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
ELECTRIC CONTRACTOR /~t;J I~2~C~_ ~/~~ ~s---~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ~- Switches ~ Rece tacles 7~
p Circuits~-
PLUMBING CONTRACTOR
-BT - WH
- Lav - Sh
WC - FDr
-Sink - LTub
Other
- Disp
DW
- SP
-Eject
- WSoft
- DF
- Ur
- SS
BTU'S
- CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation
ISSUED BY~
Permit Fee Paid $ G `J q Park Dedication
r7~A Date ~-.3l `L ~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ 9U
AGENT/0 ER
TE
ADDRESS
TELEPHONE #