HomeMy WebLinkAbout0027894-Electric CITY OF OSHKOSH N° 27894
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADORES - PLAN NO.
OWNER-4(' ' ff...'''..
DESIG 1 R
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
a ...._____ ___ ,, ,
ELECTRIC CONTRACTOR
Electric Serv. New [Change ❑ Temp ❑ Type Amps 2-47-4) IC;)
Fixtures 1- Switches I-- Receptacles Y Circuits v
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
ii o G
FEES: Valuation $ -Z ---- .? Permit Fee Paid $ 3 Park Dedication $
J
ISSUED BY Date - 34 -)2 _ Final /O.P.
In the performance of this ork I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE v. ■3 ) h ,
/ AGENT /OWNER DA TE
ADDRESS
TELEPHONE #