HomeMy WebLinkAbout0016161-Electric (temporary) CITY OF OSHKOSH N° 16161
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC {PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS A) 6 3 .s C r� 0 ma PLAN NO.
OWNER
ve A---- _e_-_-__ 7 4
DESIGNER
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USE /NATURE OF WORK
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 c
v
Electric Serv. New Er Temp [Type Volts ,o-` Amps 4
Ik
Fixtures Switches Receptacles Circuits v f)<
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay 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 La'. -_-_d Date 2 -X7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE j -47�
40 NT /OWNER DATE
ADDRESS
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