HomeMy WebLinkAbout0030702-Electric CITY OF OSHKOSH H° 30702
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS P4' r PLAN NO.
A
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
i_ e_..e.....
ELECTRIC CONTRACTOR
Electric Serv. New [Change Temp Type Volts Amps o-cp
Fixtures Switches ' Receptacles Circuits 4.----
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
o o c
FEES: Valuation 5 Q Permit Fee Paid g Park Dedication
ISSUED BY /4/A! ,r Date -Final /O.P. 7 "902
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE //l
AGENT /OWNER DATE
ADDRESS
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