HomeMy WebLinkAbout0030714-Electric CITY OF OSHKOSH N° 30714
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC E✓FLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS
PLAN NO.
OWNER
DESIGNER
V r- 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
e" r 7
Electric Serv. New ®mange Temp Type Volts Amps f r."-
t
Fixtures witches Receptacles 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 $O Permit Fee Paid 5: Park Dedication
ISSUED BY I4 /1 Date 7 �jn al /O.P. 2 O 9c)
In the performance of this I agr,,. perform all work pursuant to rules governing the described construction.
SIGNATURE ��L
SP
T /OWNER DATE
ADDRESS
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