HomeMy WebLinkAbout0036789-Electric 6(/
CITY OF OSHKOSH
N2 36789
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC
X PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 2J (2/ll.,gcrte' PLAN NO.
OWNER 4/1-P-4(-
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 /i2�L/Yn l""/''K /71(4)1444-4--e-/
Electric Serv. New Change Temp Type 1 Volts 3_(12_. Amps /le
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation C 4 D t7
iVill•---- Pe rmit Fee Paid J Park Dedication
ISSUED BY Date Final /O.P.
In the performance of this work I agree t• •erform all ork pursuant to rules governing the described construction.
Ii
SIGNATURE 4 Ataispair 9- j
A NT/0 NER DATE
ADDRESS
TELEPHONE