HomeMy WebLinkAbout0030704-Electric CITY OF OSHKOSH N 30704
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
OWNER
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 ./e
Electric Serv. New ErSange Temp Type Volts Amps l°_ci
Fixtures L-- Receptacles Circuits 't5°--
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
bG �f
FEES: Valuation A' Permit Fee Paid Park Dedication
ISSUED BY Date 7.2---
al /O.P.
In the performance of this work I agree perform all work pursuant to rules governing the described construction.
SIGNATURE kiltilr 1 `2
AG �ffill DATE
ADDRESS
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