HomeMy WebLinkAbout0008411-Electric CITY OF OSHKOSH No 08411
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC JN PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ! / 14 .$4 c%
PLAN NO.
OWNER _`4iv 444
DESIGNER `
USE /NATURE OF WORK ��'c.) -.,I, e- 4 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 �i,
Electric Serv. New X Change 111 Temp ❑ Type 4_ Volts '/0 Amps v�'
Fixtures X Switches 7 Receptacles ! - Circuits 7
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: Valuatio $ °Z v v � rmit Fee Paid $ I J `' Park Dedication $
r / t _ ^ �i
ISSUED BY d d/ if = ! i Date J 3 pr- Final /O.P. 7 -/ 54'6/
In the performance of s work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7a-11 / ..... 1 0
AGENT /OWNER D ' E
/
ADDRESS
TELEPHONE #