HomeMy WebLinkAbout0006656-Electric (temporary) CITY OF OSHKOSH N2 06656
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC e r PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Z Z PLAN NO.
OWNER
7
DESIGNER
USE /NATURE OF WORK ---11/41'..
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 ,e'
Electric Serv. New Change Temp Type Volts Amps —/o-rJ
Fixtures Switches 1 Receptacles Z Circuits AC c
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 5 g--: Q
Permit Fee Paid y Park Dedication
ISSUED BY Date/• 7 Final /O. P. /1 —7 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Z
WNER DATE
ADDRESS
TELEPHONE