HomeMy WebLinkAbout0031975-Electric CITY OF OSHKOSH N 31975
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG r ELEC I BG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /-Z j PLAN NO.
OWNER 16--- --4-1-441-
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 064..„.......,
Electric Serv. New �ange Temp Type 3A Volt 7 4 4 Amps /Ga
Fixtures L- Switches Receptacles Circuits 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
��77 4 dJ D Park Dedication
FEES: Valuation Permit Fee Paid ISSUED BY Date 1 �J' Final /O.P. AZA3
In the performance of this work I agr- to perform all work pursuant to rules governing the described construction.
SIGNATURE 7
Ac NT /IWNER DATE
ADDRESS
TELEPHONE