HomeMy WebLinkAbout0029390-Electric CITY OF OSHKOSH N2 29390
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [LBG SIGN ZONING FLOOD PLAIN HEIGHT
Z ADDRESS
PLAN NO.
OWNER D�
DESIGNER
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 ne- 41. A ---4- 7
Electric Serv. New 0---Change Temp Type Volts Amps f
c..
Fixtures 1------- Switches L.---- 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
m
FEES: Valuation f C Permit Fee Paid Park Dedication
ISSUED BY Date 1_--: Final /O.P.
In the performance of this I agree to perform all work pursuant to rules governing the described construction.
if of
SIGNATURE 0 L 9 L
AGENT •WNER DATE
ADDRESS C
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