HomeMy WebLinkAbout0024772-Electric CITY OF OSHKOSH N9 24772
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC E.--fttG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS
PLAN NO
OWNER l 1
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 4'—'-
G
Electric Serv. New (x'Change Temp Type, fl/ Volts Amps
Fi xtures v` Switches 1 Receptacles 1.----- Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
0 G O G
FEES: Valuation Q Permit Fee Paid qc Park Dedication
ISSUED BY
Date 1 '6/ F /O.P. /i a 9i
In the performance of thi I agree to perform .11 work pursuant to rules governing the described construction.
SIGNATURE
GE T /OWNER DATE
ADDRESS
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