HomeMy WebLinkAbout0030593-Electric (fixtures & switches) CITY OF OSHKOSH N° 30593
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC {PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS ..'5 f 9 Eli i PLAN NO.
OWNER c, .E e<J -1 j 4
DESIGNER
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USE /NATURE OF WORK A._ r ...4e-c --��cs ire; 1
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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 1/5 _T
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits 6&)
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lax/ Sh DW DF _San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuatio Permit Fee Paid Park Dedication
ISSUED BY Date 4F 9 2______ Final /O.P. g g
the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR 'ma
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AGENT /OWNER DATE
ADDRESS
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