HomeMy WebLinkAbout0027893-Electric (temporary) CITY OF OSHKOSH N° 27893
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS i� 2 2 1 LLIA9eV
PLAN NO.
OWNER
O i
DESIGNER
USE /NATURE OF WORK
'4.-1-"
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 :°e4----------,r-v:::'
Electric Serv. New Change Temp e VoltsiO 0 el
Fixtures Switches Receptacles PC 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 Permit Fee Paid L o� ��qq�� Park Dedication c�
ISSUED BY Date 3 `3 !Z Final /O.P. 6 2--�
In the performance of this ee to perform all work pursuant to rules governing the described construction.
SIGNATURE f' o 1;
Alb T /OWNER DATE
ADDRESS
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