HomeMy WebLinkAbout0006667-Electric CITY OF OSHKOSH No 06667
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [-PLBG SIGN ZONING FLOOD PLAIN HEIGHT
410F .E .r
ADDRESS /2 OS /2.? 7 a� i
M PLAN NO.
OWNER G
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
eL______ e.._
ELECTRIC CONTRACTOR
Electric Serv. New ErChange Temp Type Volts Amps 2
Fixtures L-- Switches `'Receptacles 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
FEES: Valuation 5 e o o it Fee Paid 5 Park Dedication
ISSUED BY Date g7 Final /O.P. S -.24- A fi
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE O c
7
AG /O NER DATE
ADDRESS
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