HomeMy WebLinkAbout0009321-Electric (porch) CITY OF OSHKOSH No 09321
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS --7 46 Si PLAN NO.
OWNER 6,t,t ,,i-a7
DESIGNER
USE /NATURE OF WORK f O ,r�
C /2 C S 04) z)sCA
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 ...LA.., I C-
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
4
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
r
FEES: Valuation 4---- Permit Fee Paid C Park Dedication
ISSUED B Date gY" Final /O.P. S S
In the performance of this worlq agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 J ,I L J ir
AGENT /OWN R DATE
ADDRESS
TELEPHONE