HomeMy WebLinkAbout0021447-Electric CITY OF OSHKOSH N2 21447
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC �P'LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO
OWNER
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DESIGNER ,�i
USE /NATURE OF WORK U
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
_.I
ELECTRIC CONTRACTOR
Electric Serv. New [Change Temp Type rii Volts /j t 4 v Amps
Fixtures L.---- Switches c...--- Receptacles t...----- Circuits v
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: Valuati 74e'° C Permit Fee Paid 3---- Park Dedication
ISSUED BY 7 .,L Date //-1?" 7 Final /O.P. 2 21 el 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
4111P Ilk.,
SIGNATURE 7
1 AG NE' DATE
ADDRESS
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