HomeMy WebLinkAbout0020308-Electric CITY OF OSHKOSH N2 20308
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 19"PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / o 3 Z D 7tel■r,e—,-..--..--P
PLAN NO.
OWNER /
DESIGNER
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USE /NATURE OF WORK " -/-4. /AA j6.
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 0- d Amps
Fixtures L/ Switches `/— Receptacles �— Circuits a.__ s'§ID
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
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FEES: Valuation $ 540,`---)=---- Permit Fee Paid $ O .��^ Park Dedication $
ISSUED BY Date 7 e Final /O.P. ‘ . y. 9/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ' -- / d
/ AGENT /OWNER DA
ADDRESS
TELEPHONE #