HomeMy WebLinkAbout0023046-Electric (a/c) CITY OF OSHKOSH N2 23046
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELECLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS �(Jt&d PLAN NO.
OWNER J 1 e .scvt„
DESIGNER 7 r
USE /NATURE OF WORK L
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-14 r C/43 c 7.
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits L--
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
FEES: Valuation OO. l J
Permit Fee Paid CI) Park Dedication
ISSUED BY�V f' Date Y —--2----- Final /O.P. 2
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE —At -s !✓L 4
AGENT /OWNER lL_ DAT
ADDRESS
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