HomeMy WebLinkAbout0035989-Electric I /O
CITY OF OSHKOSH
N9 35989
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECX PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS i or.l,C.l' A17.„- PLAN NO.
OWNER At.,1
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C p Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR I' A•
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches 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
FEES: Valuation 7.d÷V. 0 O Permit Fee Paid 4 D Park Dedication
ISSUED BY 41111,–. Date //43 Final /O.P. 4111194
In the performance of this work I agr- to perform all work pursuant to rules governing the described construction.
SIGNATURE 9 r
E T /OWNER D ATE
ADDRESS
TELEPHONE