HomeMy WebLinkAbout1994-ElectricCITY OF OSHKOSH N2 41166
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [ PLBG F1 SIGN F-1 ZONING FLOOD PLAIN HEIGHT
ADDRESS 42 k PLAN NO.
OWNER /e ,aL%d-- [
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
Electric Serv. New£hange ❑ emp ❑ Type k
Fixtures Switches Receptacles —
PLUMBING CONTRACTOR
—BT _WH
_ Lav _ Sh
— WC _ FDr
— Sink _ LTub
Other
Volts ``� Amps✓ ! L
Circuits
— Disp
_ WSoft
_ CBasin
— DW
_ DF
—San. Sewer
_SP
_ Ur
— Storm Sewer
— Eject
_SS
— Water
FEES: Valuation $ �m °• c"0 Permit Fee Paid $ w o •v ° J Park Dedication $ /J
ISSUED BY o, 6152'2-- Date /��7hT _ Final /O.P. �• 7Jr
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #