HomeMy WebLinkAbout0038766-Electric CITY OF OSHKOSH
N2 38766
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC
X PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 Tc r iJ
PLAN NO
OWNER ge-4-ae,4 el
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
i
ELECTRIC CONTRACTOR r 7( .I� 7z..- 44c)
Electric Serv. New K Change Temp Type 1 1/61 Volts 3i-4) Amps /0 v
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 O. 0 Permit Fee Paid ..S Oa I Park Dedication
ISSUED BY Date '//4 5 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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