HomeMy WebLinkAbout0034845-Electric No 34845
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [I PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS to `3 W t{ EA- =zet 6 PLAN NO.
OWNER GAQ& r A L scN-
DESIGNER
USE /NATURE OF WORK 1�� S/ jC
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 2 tA-) t 2 S E cEL' c.
Electric Serv. New Change Temp Type U•G Volts f.AVOAmps v
Fixtures x Switches K Receptacles X Circuits X 6[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
FEES: Valuation Permit Fee Paid 87- Park Dedication
7
ISSUED BY Date 75 Final /O.P. g" 9,s
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
h4(a)°(-- 7
AGENT /OWN
A TE
ADDRESS
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