HomeMy WebLinkAbout0027532-Electric CITY OF OSHKOSH N°_ 27532
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS (z3 I a PLAN NO.
ijijaZia,6 OWNER :J Z S
DESIGNER
USE /NATURE OF WORK -1-let. t DAtnAel6
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 Cl//
Electric Serv. New Change Temp Type Volts Amps 06
Fixtures y Switches ig Receptacles )1 Circuits
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
ea. V
i
FEES: Valuation 5 Permit Fee Paid e� Park Dedication
ISSUED BY 1 �,.i
i Date 3
4 Final /O.P.
In the performance ork I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 1/111 L..; a .l
AGE /OWNER DA.E
ADDRESS
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