HomeMy WebLinkAbout0009277-Electric (a/c) CITY OF OSHKOSH N2 09277
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC,.PLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS e) &Ok
DO S i 15 a:4 PLAN NO.
OWNER j0- ILAY. C k
DESIGNER
USE /NATURE OF WORK A /e..,
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
ELECTRIC CONTRACTOR LS EtIC Ar_
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches k Receptacles Circuits V
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 R Permit Fee Paid `f C Park Dedication
ISSUED BY �/./1 Date 2 -1 -r#7 Final /O.P. 7 -/Z Y
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l,, E0,,,,_. 7-(-
AGENT/OWNER DATE
ADDRESS
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