HomeMy WebLinkAbout0004656-Electric (a/c) CITY OF OSHKOSH N° 04656
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4 O 0 8 L 1 1 s o r,
PLAN NO.
OWNER LX.De S t CA 1 1-1 ea- r
DESIGNER
USE /NATURE OF WORK ek cm 1 _�j -,k 0,, C% rCA.A.,t s
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 Lc C 1 e C -k--
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches D' Receptacles P Circuits
A
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 Permit Fee Paid 45—
Park Dedication
ISSUED BY .�Z 1 1- Date 7 Z/ O
Final /O.P. p-.7--/ --g
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1 12J S?
NT /OWNER I
DATE
ADDRESS
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