HomeMy WebLinkAbout0001119-Electric (entrance pipe) CITY OF OSHKOSH N2 01119
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC J PLBG SIGN p ZONING FLOOD PLAIN HEIGHT
�,3 P
ADDRESS PLAN NO.
OWNER C)11,11
DESIGNER
USE /NATURE OF WORK GC C 2
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 __s -AL AL
Electric Serv. New 1::] Change Temp /`�e"` p- Amps
Fixtures Switches Receptacles Circuits
C.4a0
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
FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY L�iiy�'Y� Date 7 ZY .6 Fina1 /O.P.02,
In the performance ork 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L4,:eL/ i
AGENT/0 'ER DATE
ADDRESS
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