HomeMy WebLinkAbout0029741-Electric (a/c) CITY OF OSHKOSH N 29741
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC ce PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS cj L) h I i S4ii. PLAN NO.
OWNER y
DESIGNER
USE /NATURE OF WORK fiAP)M0
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
n
ELECTRIC CONTRACTOR L f CL L 1
Electric Serv. New Change Temp El Type Volts Amps
Fi;ctures Switches K Receptacles Circuits Y
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
im C
D (7C- FEES: Valuatio Permit Fee Paid `D p Z Park Dedication 7
ISSUED BY i �i 1 Date 7- 7 7 P- 2 Final /O.P. 7 f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (0:6 7? fre_ AGENT /OWNER DA
ADDRESS
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