HomeMy WebLinkAbout0033997-Electric CITY OF OSHKOSH N2 33997
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS L PLAN NO.
OWNER Y
DESIGNER
j 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
1
ELECTRIC CONTRACTOR
Electric Serv. New Temp Type Volts Amp(
Fixtures L.-- Switches Receptacles Circuits 4..."--
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
�i a 4.: f
FEES: Valuation [i 0 Permit Fee Paid Park Dedication
ISSUED BY Date 57— 2 Final /O.P. La m q
.5
In the performance of this work I agree t• perform all work pursuant to rules governing the described construction.
SIGNATURE `J 2-e
AG /OW 'R DATE
ADDRESS
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