HomeMy WebLinkAbout0002701-Electric (temporary) CITY OF OSHKOSH N o 02
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC Er PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 2a a 2,/ 4
PLAN NO.
OWNER .- e----3- 1--<-- i � " (-
DESIGNER
USE /NATURE OF WORK i / � /
• �
BUILDING CONTRACTOR
a , 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 irl 1 .. 4=-_joe
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts X Amps
Fixtures Switches Receptacles Circuits
AP ,
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
9. FEES: Valuation $ _ `
Permit Fee Paid $ Park Dedication $ /
ISSUED BY / / /i /. i _� /' /' Date �• 7 - 7./ h Final /O.P. 2_,,>=
'"'� 4.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ��!�ii =`.. Z • �e T2
/ AGENT /OWNER
DATE
ADDRESS
TELEPHONE #