HomeMy WebLinkAbout0031320-Electric (service change & a/c) CITY OF OSHKOSH N2 31320
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK /J r C—
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 �t
l ID -°7
Amps Serv. New Change L Temp Type o 6e Volts Amps f
°1 EY
Fixtures Switches Receptacles Circuits
DLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
O p
FEES: Valuation CU Permit Fee Paid p Park Dedication
ISSUED B /���i_w.., i Date le Final /O.P. _J
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER f DATE
ADDRESS
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