HomeMy WebLinkAbout0030694-Electric CITY OF OSHKOSH N°_ 30694
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG LEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /i 3 PLAN NO.
OWNER
r
DESIGNER
544
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
,Idee-s-----
Electric Serv. Newfiange Temp Type Volts Amps
Fixtures 1 Switches Receptacles c..------ Circuits .4----
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 /5■ Permit Fee Paid id-- Park Dedication
ISSUED BY V pieel Date f `7 7- "Final/O.P. 1-07(1- ?3
In the performance of this work I as iiii to perform all work pursuant to rules governing the described construction.
SIGNATURE f�:' �''I 2—
/OWNER DATE
Or
ADDRESS
TELEPHONE