HomeMy WebLinkAbout0023377-Electric CITY OF OSHKOSH N° 23377
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC 0 PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS l2 PLAN NO.
OWNER _41143 LS
DESIGNER
USE /NATURE OF WORK 5 CdsPloPik
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 11 A' I L II AC...,•
Electric Serv. New Change Temp Type Volts Amps
Fixtures k 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
l r
FEES: Valuation 0 Permit Fee Paid �Jr' Park Dedication
—2-I-9/
ISSUED BY Date Final /O.P.
In the performance of t. irk I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE IU_I L AP if l
N /OWNER /DA
ADDRESS
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