HomeMy WebLinkAbout0030713-Electric CITY OF OSHKOSH N°_ 30713
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC ta•PLBG SIGN ZONING FLOOD PLAIN HEIGHT
A PLAN NO.
Z•
DESIGNER
USE /NATURE OF WORK 5
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent p Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR —02 ■or--f
Electric Serv. New [Change Temp p Type Volts Amps r'''
Fixtures t- Switches L Receptacles Circuits c----
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 i mo Park Dedication
7
_C o
ISSUED BY Date /O.P. 9 9c2
In the performance of this work I a o perform all work pursuant to rules governing the described construction.
SIGNATURE Ale II
�T /OWNER
DATE
ADDRESS
TELEPHONE