HomeMy WebLinkAbout0035978-Electric N9 35978
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC LBG SIGN ZONING FLOOD PLAIN HEIGHT
I
ADDRESS /1a 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 Ch ng
ae Temp Type Volts Amps
lad
Fixtures .4.--- Switches 1 Receptacles Circuits 1.---'
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
9
FEES: Valuation "2---2- G Or D 0 Permit Fee Paid c p s 0 Park Dedication �i
ISSUED BY Date 7 Final /O.P. q `7 y
In the performance of this work I agree to -rform all work pursuant to rules governing the described construction.
SIGNATURE 4 1 0:-7 4/
NT/0 R DATE
ADDRESS
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