HomeMy WebLinkAbout016162-Electric CITY OF OSHKOSH N° 16162
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC �LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 G� o 7 PLAN NO.
OWNER
DESIGNER
1.)411
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 ZE
Electric Serv. New 111 Change Temp El Type /-2- Volts Amps
1
Fixtures Switches Receptacles L.--- 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
d v
-10 r FEES: Valuation 5 a p Permit Fee Paid g f Park Dedication _S CBS aC,l
ISSUED BY Date Final/O.P. 1 g0
In the performance of this work I agree t. perform all work pursuant to rules governing the described construction.
1.-
a Gam®
SIGNATURE e� --0*C /Ar L c
-44:Er.WNER DATE
ADDRESS
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