HomeMy WebLinkAbout0013144-Electric CITY OF OSHKOSH No 13144
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / PLAN NO.
OWNER
DESIGNER
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
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
940 Fixtures Switches 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
4 , -( -1,A-ee____
(, c y G
FEES: Valuation $ l3 0 QO — Permit Fee Paid $.340L ✓ Park Dedication $
ISSUED B /// � /_.� Date `7 14 - . / 9 ' .
Fnal /O.P.- P C i c,243M
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 3 . r-
AGENT /OWNER DATE
ADDRESS
TELEPHONE #