HomeMy WebLinkAbout0029389-Electric (e) CITY OF OSHKOSH N® 29389
P ERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC F PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 37 PLAN NO.
OWNER
DESIGNER
,4‘:-..-t...d.,..44.--
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
Electric Serv. New Change El Temp Type Volts Amps 6E)............
Fixtures Switches Receptacles `'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
cPe a c
FEES: Valuation 5 4 4 Permit Fee Paid J Park Dedication
ISSUED BY
z 3 7 r
/ir: ��I Date Final /O.P. 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
111
SIGNATURE Ilki 72---
AGE T /OWNER DATE
ADDRESS
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