HomeMy WebLinkAbout0043908-Electric (remodel)� rZ
N2 13008
CITY OF OSHKOSH
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN - - HEIGHT
-- - - - - -- - - - -
-------------------- f---------------------------- -
ADDRESS �3 / �' l� '� ?`' PLAN NO.
OWNER
DESIGNER �?
USE/NATURE OF WORK
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
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps„
Fixtures / Switches Receptacles /- Circuits
PLUMBING CONTRACTOR
BT — WH — Disp — WSoft — CBasin
DW
—SP
_. Eject
Lav
— Sh
— WC
_ FDr
— Sink
— LTub
Other
— DF
_ Ur
_SS
San. Sewer_
Storm Sewer
Water
. Z-
FEES: Valuation S-0 � - Permit Fee Paid $ Park Dedication $
ISSUED BY id Cl �-,�- Date Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS TELEPHONE #