HomeMy WebLinkAbout1987-Electric (■11-o) CITY OF OSHKOSH No 05116
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC j<PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 22 0 /V PLAN NO.
OWNER Iv c 0
DESIGNER
USE /NATURE OF WORK ,.ems/ /C4
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 l
i
Electric Serv. Change Te 111 Type) /7 Volts A Amps MC)
Fixtures Switches Receptacles 0■,.____ Circuits K
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
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FEES: Valuation if D Permit Fee Paid /Al L---' Park Dedication
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ISSUED BY 1 Da l/ Final /O.P. O L g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT /OWNER DATE
ADDRESS
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