HomeMy WebLinkAbout0018009-Electric CITY OF OSHKOSH N2 18009
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC EPLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS PLAN NO.
l
OWNER y
DESIGNER
r
USE /NATURE OF WORK i- e -e, z_
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 OZ-----, Ce.c' --1'
Electric Serv. New Change Temp Type Volts Amps
Fixtures twitches c..----- Receptacles Circuits
900 f
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 fI
FEES: Valuation 5® ems o G
Permit Fee Paid G 7 Park Dedication
ISSUED BY /I 4 Date 7 l `l c� D Final /O.P. /71 Q
In the performance of this work I a•_ -e to perform all work pursuan ::o rules governing the described construction.
SIGNATURE '�G'
ENT /OWNER DATE
ADDRESS
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