HomeMy WebLinkAbout0021445-Electric (41-111) CITY OF OSHKOSH N9 21445
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC ga PLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
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OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 0 44 4---
Electric Serv. New Volts b1.47 1
han a g Temp p Type// Amps' °69
Fixtures Switches ti Receptacles v Circuits
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: Valuatioi n 9 Permit Fee Paid Park Dedication
ISSUED BY L% Date /1 Final /O.P. if
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Nil. /11
SIGNATURE A /APa_
r "Mr NER DATE
ADDRESS
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