HomeMy WebLinkAbout0023568-Electric (hot tub) CITY OF OSHKOSH N2 23568
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC K PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
/3 / 3 /V
ADDRESS R PLAN NO.
OWNER p.��.�- �'Z
DESIGNER
USE /NATURE OF WORK 7/4--q 7-Lt
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
i
ELECTRIC CONTRACTOR . _., _ J 2 ,__ \�
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
jA9 Fixtures Switches Receptacles Circuits 'f—____'
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
O G /52-1" Y
FEES: Valua on $ _ f / --------- Permit Fee Paid $ t �/ Park Dedication $
ISSUED BY 4 i — 1 Date .7 '-��40 - Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE . ..� -/v
AGENT NER DATE
ADDRESS
TELEPHONE #