HomeMy WebLinkAbout029391-Electric CITY OF OSHKOSH N°_ 29391
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 T _`or% PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
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 0
Electric Serv. New Change Temp Type Volts Amps
Fixtures witches V Receptacles Circuits
‘g;
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
//r co
FEES: Valuatio Permit Fee Paid Park Dedication
ISSUED BY h Date‘? Final /O.P. o
In the performance of this wo a• perform all work pursuant to rules governing the described construction.
41., .411
SIGNATURE s O''I�
T /OWNER DATE
ADDRESS
TELEPHONE