HomeMy WebLinkAbout0033999-Electric CITY OF OSHKOSH N 339 9
L' PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [4.4P�G SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 14 PLAN NO.
OWNER /‘5 e
DESIGNER
k.
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
�f
ELECTRIC CONTRACTOR x
Electric Serv. New range Temp Type Volts Amps oni___
Fixtures 4 Switches L-- Receptacles I 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 rev e Permit Fee Paid 5-9 a Park Dedication
ISSUED BY Date d 75 Final /O.P. /?-0
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 2 /lair
.417 NER D ATE
ADDRESS
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