HomeMy WebLinkAbout0017443-Electric CITY OF OSHKOSH N2 17443
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC Jkf PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS A 4 0l,;i PLAN NO.
OWNER /3 i-Sen C
DESIGNER
USE /NATURE OF WORK Z(Yli U Y_/.
L�/,
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 0 tom' _'d 4 C. ,�..r►.
Electric Serv. NewiA Change Temp Type Volts //S J Amps /OG L.J CT
Fixtures Switches Receptacles Circuits �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 P ermit Fee Paid Park Dedication
ISSUED BY _4•1_-_-,,,.../ 3 Date 7 Final /O.P. 5 7o
In the performance of this w ree to perform all wor suant to rules governing the described construction.
SIGNATURE A 0C'e
4 C%f AGENT /0 ER
A (I€
ADDRESS
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