HomeMy WebLinkAbout0041769-Electric CITY OF OSHKOSH .L l69
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /y3/ !.l _./j 6,27 PLAN NO.
OWNER O o
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 L n 1,_ -cf fI/
Electric Serv. New�Change Temp Type u 6 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: 0080 ov
S Val uation Permit Fee Paid S o o Park Dedication
ISSUED BY �,l..�r,. Date 9 ��7/ ,c Final /O.P. /e2) 'r 9,
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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