HomeMy WebLinkAbout0018822-Electric (a/c) CITY OF OSHKOSH N° 18822
PERMIT APPLICATION AND RECORD
TYPE: BLDG El HTG ELEC X PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 01 lt)•.1 G Aeg k
PLAN NO.
OWNER r4/L. r4/L. S. L de 5 S e kii 1
DESIGNER
f
USE /NATURE OF WORK L.✓ //te C' er7 4- a e' Co •4 �G tie B H e.€-,
I
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 mecAt -e /I,! 1/U ail i 4,A Cane 11 rt I'1.i.2 1 r
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits R
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 ��fV
Park Dedication
ISSUED BY Date 4. —7-1P Final /O.P. 6 v
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE Ir✓ /7/(7 AGENT /OWNER TE
ADDRESS 3 705 `'L 4}i7 L/ lG.c: eJ v2 23 5-6 Slv
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