HomeMy WebLinkAbout0015951-Electric (replace cable) CITY OF OSHKOSH N2 15951
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC ,PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS //o w� J winds,. PLAN NO.
OWNER Ji_( l571-_.
DESIGNER
USE /NATURE OF WORK L a/ C:eth l/` l00 -1 r i P.
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 C hax
Electric Serv. New Change Temp Type 3 (A.-) Volts v'0 Amps /c7O
Fixtures Switches Receptacles Circuits c
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
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FEES: Valuation �c 00 Permit Fee Paid U /J 0 V
Park Dedication 77
ISSUED BY Date —U p c� Final /O.P. G 1 7 V 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ca s 'Z' 1C -zl. /O "-(4t—K
AGENT /OWNER DATE
ADDRESS
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