HomeMy WebLinkAbout0001098-Electric (41-11-) CITY OF OSHKOSH 0 01098
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC1PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS °2( d le4ti. a-e97
PLAN NO
OWNER
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 0"
/LU L- >4 p-
Electric Sery New i Change Temp Type Volt Ampps� C
Fixtures Switches l)'. Receptacles Circuits etILO k
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 O d Permit Fee Paid �D Park Dedication
ISSUED BY CZZ� 'j Date 7 2 7 7 Final /O.P. 10 1-34
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
S SIGNATURE 4 J j
AGEN. t
DATE
ADDRESS
TELEPHONE