HomeMy WebLinkAbout0018001-Electric CITY OF OSHKOSH N°_ 18001
L PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC ip 1DLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS 'I PLAN NO.
OWNER
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
ELECTRIC CONTRACTOR ___.-e--_-
Electric Serv. New [Change T� Type Volts I4.-° d Amps,'(')
L/
Fixtures Switches 1 Receptacles v Circuits
I- S1)
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 13 d Park Dedication
ISSUED BY Date A/ 9 Final /O.P. L/- a io
In the performance of this work I agree to perform all work pursuar,: Zo rules governing the described construction.
Il k
SIGNATURE A i #4
fr NT /OWNER
ADDRESS
TELEPHONE