HomeMy WebLinkAbout0000140-Electric (temporary) CITY OF OSHKOSH N2 00140
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECPLBG SIGN ZONING FLOOD PLAIN HEIGHT
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ADDRESS b C� PLAN NO.
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OWNER -�1
DESIGNER
USE /NATURE OF WORK c__Z oel t✓u -P
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 T 9;7 1 _5 4 Q
Electric Serv. New Change Temp Type,/ Volts G14mps `s-' -2y''7,e,
Fixtures Switches Receptacles tic Circuits k° 3CL---
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation G Permit Fee Paid Park Dedication
ISSUED BY /4141...t....- _...e Date f 3 Final /O.P. 5 a- q --1
In the performance of this work I agree to -erform all work pursuant to rules governing the described construction.
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SIGNATURE 'P
AGENT /OWNER DATE
ADDRESS
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