HomeMy WebLinkAbout0023472-Electric (a/c) Cli) CITY OF OSHKOSH N° 23472
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ Z ONING FLOOD PLAIN HEIGHT
ADDRESS /124 Ca si r C S c PLAN NO.
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OWNER G ar T nut hvQ-7-
DESIGNER
USE /NATURE OF WORK Qi ill Cr, `! tI
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 I'-I4 L ° h n
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
A.9
Fixtures Switches i""' Receptacles Circuits '
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 " / ot
FEES: Valuatio $ `'��
i�. Permit Fee Paid $ `
Park Dedication $
ISSUED BY /J4 _ .d. L i Date .5 f ` 9/ 5 - Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU .-c_ / J �^ o9 .. .`q/
AGENT /OWNER DATE
ADDRESS
TELEPHONE #