HomeMy WebLinkAbout0013749-Electric CITY OF OSHKOSH No 13749
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC [6LBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS c__,2. 2 —d n
PLAN NO.
OWNER S 3 j 1
DESIGNER
USE /NATURE OF WORK 71e-----
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 7
Electric Serv. New hange Temp 0 TypAri. olts Amps
Fixtures Lam— 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
d d
FEES: Valuation oZ- 49 d Permit Fee Paid 5 Park Dedication
ISSUED BY �_.■11/ Date F7Final /O.P. G(0. `e
In the performance of this w I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE i 6
d AGENT/0 R DATE
ADDRESS
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