HomeMy WebLinkAbout0033041-Electric CITY OF OSHKOSH N 33041
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC Et PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ZT i :r PLAN NO.
OWNER ���W;
DESIGNER
USE /NATURE OF WORK 9/7‘4.........„-a--
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 d
Electric Serv. New hangs Temp Type/ Volt i v Amps ,°-c..
F
g l-----
ixtures L----Switches Receptacles 4 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
�G IV
FEES: Valuatio '47 f- Permit Fee Paid 6` oG
Park Dedication
ISSUED BY Date �5 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE AftmarthighaarAtiffAiiir �'�►r J-3
'GE /OWNER DATE
ADDRESS
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