HomeMy WebLinkAbout0042352-Electric CITY OF OSHKOSH N 42352
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC, PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3 V/ 1 PLAN NO.
OWNER ef-e-t-A- A<44"
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 .44(
Electric Serv. New Change Temp Type q Volt Amps/ c
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
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FEES: Valuation Permit Fee Paid Park Dedication
ISSUED BY 1 Date /91 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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