HomeMy WebLinkAbout0033998-Electric o CITY OF OSHKOSH N 339 8
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [1 SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /O?. 'r+' PLAN NO.
AID
OWNER #f"
DESIGNER
USE /NATURE OF WORK
x
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
(fef----eJ
Electric Serv. New 1- Change Temp Type Volts Amps el8
Fixtures L.-- Switches ems` Receptacles 4 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
vG c a G L/
FEES: Valuation <J CI Permit Fee Paid c� e9 Park Dedication
ISSUED BY Date .5 0 cam 3 Final /O.P. 2 73
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
pr NT /OWNER DATE
ADDRESS
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