HomeMy WebLinkAbout0041378-Electric CITY OF OSHKOSH N 41373
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECPLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 L.. 1./a -cam PLAN NO.
OWNER 45/ gi7f- Arr-ite-A-#--
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 X77 /�!'t/
Electric Serv. New Change eT m
g p Type Volts Amps
Fixtures u."' Switches Receptacles 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
FEES: Valuation 3 O. O 0 Permit Fee Paid ..?1-2 �J J Park Dedication
ISSUED BY ■-r✓ Date 6Z 1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
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