HomeMy WebLinkAbout0017025-Electric CITY OF OSHKOSH N2 17025
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC 6LBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS �7� 7 /e PLAN NO.
1 9
OWNER
DESIGNER c �Q
USE /NATURE OF WORK Z=G�- i
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 -7------
Electric Serv. New El- Temp El Type Volts Amps C
Fixtures L./- Switches 1--- Receptacles C- Circuits L.--
AP,
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 Permit Fee Paid Park Dedication
ISSUED BY rd Date 12'
,o Final /O.P. 3-/- 9Q
In the performance of this I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
NER DATE
ADDRESS
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