HomeMy WebLinkAbout0020299-Electric CITY OF OSHKOSH N9 20299
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC IKVPLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS f 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
e26 #2 e.. 7
ELECTRIC CONTRACTOR
/2.o -mod
Electric Serv. New Change Temp Type Volts Amps,
L�
Fixtures Switches 4.---- Circuits
4PC2-
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 C Permit Fee Paid Park Dedication
ISSUED BY '�i�% Date i a .0 Final /O.P. 1/ `d
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
,2% i
SIGNATURE
/doiviWNER DATE
ADDRESS
TELEPHONE