HomeMy WebLinkAbout0038764-Electric CITY OF OSHKOSH
N2 38764
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [2( PLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS 3 l�'� PLAN NO.
OWNER t.�J�C.LL C�e� ad–c
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 1/ 77 ,,r/ j
Electric Serv. New Change Temp Type a Volts 3641 Amps o
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 ADD 0 ,o 6 Permit Fee Paid O O Park Dedication
ISSUED BY Date l it //9 Y Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
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