HomeMy WebLinkAbout0023094-Electric (remodel lower level) 40. CITY OF OSHKOSH N° 23094
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC) PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS C.5 PLAN NO.
OWNER 6 V ,7 i
DESIGNER
USE /NATURE OF WORK f I.A
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 i G t-- er.
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches __Receptacles Circuits yk
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 ,--4-6.7.9_______---
Permit Fee Paid v�'� Park Dedication
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ISSUED BY /��Il 1 7 4 I' --e --e Y/ Final /O.P. S 1l l q/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
l'Ej SIGNATURE
o24 °I/
AGEN /OWNER DATE
ADDRESS P d r 6 9/
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