HomeMy WebLinkAbout1988-Electric (a/c)_CITY OF OSHKOSH No 09251
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~j/ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS /L
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 C~CL. ~~~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits ~~
0
PLUMBING CONTRACTOR
-BT - WH
- Lav - Sh
- WC -. FDr
-Sink - LTub
Other
- WSoft
- DF
- Ur
- SS
FEES: Valuation
ISSUED BY ~
PLAN NO.
- Disp
- DW
- SP
-Eject
- CBasin
-San. Sewer_
- Storm Sewer.
- Water
v
Permit Fee Paid $ ~ ~t!7 Park Dedication $
Date ~ `~~ _ ~~ Final/O. P. 7 "~~ ~" ~~
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE ~ ~~ ~ _ /~_
AGENT/OWNER /
DATE
ADDRESS
TELEPHONE #