HomeMy WebLinkAbout0017318-Electric (bathroom remodel) CITY OF OSHKOSH
N2 17318
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS W
PLAN NO.
OWNER {�,Qe
DESIGNER y
USE /NATURE OF WORK fri--7
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 6'a- s6I L
Electric Serv. New Change Temp Type Volts Amps
9
Fixtures Switches Receptacles X Circuits A t
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: Valuati. a 4
Permit Fee Paid 7S---0-3, Park Dedication
ISSUED BY 1 Date c \(p Pd Final /O.P. _2 „2./.. --96
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE cP1
AGENT /OWNER
DATE
ADDRESS
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