HomeMy WebLinkAbout0021443-Electric CITY OF OSHKOSH N° 21443
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC IE/PLBG SIGN ZONING FLOOD PLAIN HEIGHT
7t
ADDRESS A'
2 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK <1.
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 ���E. -4
Electric Serv. New hange Temp Type Volt l x9 Amps
Fixtures l."-- Switches Ci Receptacles Cr- Circuits 4c)"
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 ed Permit Fee Paid c> Park Dedication
ISSUED BY fU= Date /C"��,.z Final /O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE /4 J''
.[U[��" ER DATE
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ADDRESS
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