HomeMy WebLinkAbout0003104-Electric CITY OF OSHKOSH No 03104
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS °z ,a C am
PLAN NO.
OWNER fr
DESIGNER
USE /NATURE OF WORK t) 9(147,—e—
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 �—ee
/e,..) cea
Electric Serv. New Change Temp Type 3 Volts Amps
Fixtures Switches Receptacles Circuits
l
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 U Permit Fee Paid i i:e Park Dedication
ISSUED BY (2e l Date X17 Final /O. P. 0?
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE i
1 GENT /OW DATE
ADDRESS
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