HomeMy WebLinkAbout0029392-Electric CITY OF OSHKOSH N° 29392
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [LyPLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /2 5� 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 A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp 111 Type Volts Amps
Fixtures Switches L Receptacles `---Circuits
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
C3 J oc.
FEES: Valuati. 41 Permit Fee Paid }-'"G Park Dedication
ISSUED BY AAA Date [O 2 Final /O.P. 7 G
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 9?
AG T /OWNER DATE
ADDRESS
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