HomeMy WebLinkAbout0019454-Electric (i)or CITY OF OSHKOSH N2 19454
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC lf(PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER I /IF
Ile
DESIGNER V J
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 O
Electric Serv. New -fange Temp Type Volts Amp
Fixtures `Switches Receptacles Circuits C
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
O e (-1--'.----- ri
FEES: Valuation e'c Permit Fee Paid G 2 3 Park Dedication
ISSUED BY .41 Date 7 Final /O.P. �p -?0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE IA =t''r∎
NER DATE!
ADDRESS
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