HomeMy WebLinkAbout0033042-Electric 6 11
CITY OF OSHKOSH
N2 33042
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [LBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS 2 4.
PLAN NO
OWNER
A. 4,....144.1/ AMP
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
ELECTRIC CONTRACTOR 72.4` i
Electric Serv. New B Change Temp Type Volts Amps l CP-C)
Fixtures Switches r% Receptacles Gifcuits
4-..- t)----
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 cs• C.- 7
FEES: Valuation Permit Fee Paid Park Dedication
i 3 tI
ISSUED BY Z //.4= Date J -5 7, Final /O.P. 4p -T 3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ejrra
4
AGENT /OWNER DATE
ADDRESS
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