HomeMy WebLinkAbout1991-Electric (addition)CITY OF OSHKOSH N4 23795
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ~ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS I~ a~ ~~4/~TCOP~'~- PLAN NO.
OWNER ~~t~G E /'!i[ !~}T/~ W~~
DESIGNER
USE/NATURE OF WORK t~u~R1~ ~~d~
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
# Rooms
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Class of Const
Heat Loss
# Stories
BTU'S
ELECTRIC CONTRACTOR ~,~~~-~ ~~'.
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures ~_ Switches - '~ Receptacles ~~ Circuits _-Z~
PLUMBING CONTRACTOR
-BT WH
Lav Sh
- WC FDr
-Sink LTub
Other
Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
• Gryv .--0~. ~
FEES: Valuatioy $ ~--~ Permit Fee Paid $ ` `~ Park Dedication $
ISSUED BY Date Y r/~ ~~ Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
_ ~-,
SIGNATURE
AGENT/OWNER
ADDRESS
Height .
Occupancy Permit
C7 Y
ATE
TELEPHONE #