HomeMy WebLinkAbout0007269-Electric CITY OF OSHKOSH N2 07269
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [PLBG SIGN ZONING FLOOD PLAIN HEIGHT
//?5"--
ADDRESS PLAN NO.
OWNER
DESIGNER
9(9
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 f
Electric Serv. New [Change Temp Type, /k" Volts 31 6 Amps MD
Fixtures Switches v- Receptacles e.---- 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 Permit Fee Paid Park Dedication
ISSUED BY Date 3 Final /O.P. L -S8
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 41P,- .z- GP
AGE /0 1 11 .4111, DATE
ADDRESS
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