HomeMy WebLinkAbout0039692-Electric CITY OF OSHKOSH
No 39692
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [�PLBG SIGN ZONING. FLOOD PLAIN- HEIGHT
ADDRESS S __i PLAN NO.
OWNER £AAa -e X- &71!.0,
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 g
Electric Serv. New.Change Temp Type It .47 Volt 6(1 Ampal
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 4
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 2 -v a0 a V
Park Dedication O Permit Fee Paid v 0 n
ISSUED BY 744.14.,‘,7,0--.' Date 5 7�7A y Final /O.P. 1f "la 9 1
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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