HomeMy WebLinkAbout0021448-Electric CITY OF OSHKOSH N2 21448
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS eo PLAN NO.
OWNER Jr
DESIGNER
USE /NATURE OF WORK ce 't--
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 range Temp TypeA f Amps
Fixtures Switches v Receptacles i------- Circuits 1-- A9-7
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
&1°(' a-�-- cy r y
FEES: Valuation Permit Fee Paid U-107- Park Dedication
ISSUED BY -'ll 'l Date 71? Final /O.P. 2 Z
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 9 -J
/OWNER DATE
ADDRESS
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