HomeMy WebLinkAbout0021444-Electric CITY OF OSHKOSH N2 21444
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC E 5 1 BG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS /44.0 PLAN NO
OWNER
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
f e 0 e..14„.4.,
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type re/Volts l) Amps
41-
Fixtures V Switches vReceptacles 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: Valuation �e'd Permit Fee Paid 01_ Park Dedication
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ISSUED BY l Date /7" Re' Final /O.P. 3 3) q)
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE f i�
ir EN /OWNER DATE
ADDRESS
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