HomeMy WebLinkAbout0019453-Electric CITY OF OSHKOSH N2 19453
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC G SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
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 Eange Temp Type Volts Amps
Fixtures L-""
Switches Receptacles L 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 49 e 7
�1 Permit Fee Paid 3 4 4 Park Dedication
ISSUED BY Date 7 2r Final /O.P. 6 9- 7e
In the performance of this work I a• to perform all work pursuant to rules governing the described construction.
SIGNATURE
"T► /1.'-.7.°
T /OWNER DATE
ADDRESS
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