HomeMy WebLinkAbout0038759-Electric CITY OF OSHKOSH N° 38759
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 130 O
PLAN NO.
OWNER .a�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
/y 4
ELECTRIC CONTRACTOR ./�YJT 4.7r
Electric Serv. New Change eT mp Type 7 Volts 3 c)
YP 4 G olts Amps /Q
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 9 OQ O 0 Permit Fee Paid .7 0 0 Park Dedication
ISSUED BY z L.(Ze.4„cr---"--' Date 17u /7)C 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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