HomeMy WebLinkAbout0030693-Electric CITY OF OSHKOSH N°- 30693
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG E EC I1BG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ie l PLAN NO.
AA
OWNER
7
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
Z- 2 e–' --1/4
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps Art)
Fixtures witches Receptacles 4---- tircuits
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
a a
FEES: Valuation Permit Fee Paid -C Park Dedication
ISSUED BY 7 A6 1 ./js Date 7 Final /O.P. -c)11-9'1/43
In the performance of this work I a. -e to perform all work pursuant to rules governing the described construction.
Aar
SIGNATURE ..,‘,41.4 1%
f ee_ /OWNER DATE
ADDRESS
TELEPHONE