HomeMy WebLinkAbout0039325-Electric CITY OF OSHKOSH
No 39325
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 3 Cf r Gib 13 1
PLAN NO.
�f f
OWNER 41......_....., 1 ti
J
DESIGNER
USE /NATURE OF WORK a r, of
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 )97 A/1. E4 t
Electric Serv. New 6 Change Temp TypeL Volts/ (Amps GO
Fixtures X Receptacles
ptacles X Circuits
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
FEES: Valuation (4 AO Permit D I
t Fee Paid p J Park Dedication
ISSUED BY
r. Date 57
Final /O. P. 5'.f9 .q
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNAT s
9 y
AGENT /OWNER
DATE
ADDRESS
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