HomeMy WebLinkAbout0041058-Electric CITY OF OSHKOSH N 41058
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECX PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /29/ /l PLAN NO.
OWNER 444- A
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 el -//iv/ �P7J7 frit-ua -cam �e
Electric Serv. New Change Temp p Typ Volt Amps L
Fixtures Switches Receptacles Circuits
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 000 D'O Permit Fee Paid S-c7 Park Dedication
ISSUED BY ifdr Date 0Z/9 y Final /O.P. /02 036 •7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENTIOWNER DATE
ADDRESS
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