HomeMy WebLinkAbout0001086-Electric (temporary) 12-5). CITY OF OSHKOSH
N2 01086
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC jam'/ PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /77/ JAI (0o-- /"�D -trio(
PLAN NO
OWNER677-- i,-
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
i
ELECTRIC CONTRACTOR
O //,/J
Electric Serv. New Change Tempik Type il Volts �2 Amps fl
Fixtures Switches Receptacles x. Circuits X
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
00
FEES: Valuation d Permit Fee Paid Park Dedicationn
ISSUED BY -5 Date 'Z' 7 7 iz Final /O.P. 7 -25-- 6
In the performance of this w• -.gee to perform all work pursuant to rules governing the described construction.
SIGNATURE /.I -AO
w
AG .i r
DATE
ADDRESS
TELEPHONE