HomeMy WebLinkAbout0021446-Electric CITY OF OSHKOSH N° 21446
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC 4LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 ,e `i
DRESS Ali PLAN NO.
OWNER i r 4
DESIGNER
USE /NATURE OF WORK G
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 Ls Change Temp Type /K/ Volt Amps j
Fixtures to- Switches Lip Receptacles Circuits Ag--..
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 Ly a� Permit Fee Paid l ,lev Park Dedication
ISSUED BY _it.!` 1 Date 9 Final /O.P. /V° 71 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
I oe
SIGNATURE �r
AGENT /%4�1RR� DATE
ADDRESS
TELEPHONE