HomeMy WebLinkAbout0033043-Electric 6 lam/
CITY OF OSHKOSH N° 33043
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 02.r 9 .e_ PLAN NO.
OWNER .L `I
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
e'
ELECTRIC CONTRACTOR o
Electric Serv. New Change Temp Typed Vo t I OD-----
Fixtures Switches v 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
Off, o G
FEES: Valuation Permit Fee Paid 5 0 Park Dedication
ISSUED BY Date 3 Final /O.P. 6 J 9* 3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR 4
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ENT /OWNER DATE
ADDRESS
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