HomeMy WebLinkAbout0024364-Electric i4/`'1 CITY OF OSHKOSH N2 24364
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC J( PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS (9 S° 1.) h F S PLAN NO.
OWNER 061...OLS e- 3
DESIGNER
USE /NATURE OF WORK m'4) 4' 1 Air Or 66
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 0 (..--L fN .a« Al
Electric Serv. New y Change Temp Typ Volts/ i' 1 mps U 4
Fixtures I V Switches Receptacles )C Circuits
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: Valuati. 49 d Permit Fee Paid 450 Park Dedication
ISSUED BY 0 Date 7-/ p j Final/O.P. T� 7 1 1 9
In the performance of this wor gree to perform all work ursuant to rules governing the described construction.
SIGNATURE (A._ 2 (5_/
A GENT /OWN R TE
ADDRESS
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