HomeMy WebLinkAbout0026572-Electric (addition) CITY OF OSHKOSH N2 26572
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [1- SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK '-e`�-a'/
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
Electric Serv. New Change Temp Type Volts Amps
oci______;
Fixtures V Switches 2------ Receptacles L- Circuits
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 71,5-e, Permit Fee Paid Park Dedication
ISSUED BY Date 2 9 4 Final /O.P.
In the performance of this work I agree top rm all work pursuant to rules governing the described construction.
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SIGNATURE
A D ATE
ADDRESS
TELEPHONE