HomeMy WebLinkAbout0015667-Electric (smoke detectors) CITY OF OSHKOSH N°_ 15667
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECAPLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS IY� e O (0/9 /ferr; 1,- PLAN NO.
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OWNER
DESIGNER
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USE /NATURE OF WORK <z,,,,l,-4 ../-ivv
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 Temp Type Volts Amps
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
FEES: Valuation /0 it Fee Paid -S v Park Dedication
ISSUED BY IJ4 1 Date F Final /O.P. 7--2-._ Y(
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I
aS I G
AGENT /OWNER D
ADDRESS /Z2%7 X33
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