HomeMy WebLinkAbout0046234-Electric (a/c) CITY OF OSHKOSH N ° - 46234
6 17_,./
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ,'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 la 1" i4.1/ PLAN NO.
OWNER . -� _ , _ A. 444.64t, littift.,#644--1
DESIGNER /,�
USE/NATURE OF WORK 3 r/4-0..--2,
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 /3 /-i
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT _ WH _ Disp _ WSoft — CBasin
- Lay _ Sh _ DW _ DF _ San. Sewer
- WC _ FDr _ SP _ Ur — Storm Sewer
Sink _ LTub — Eject — SS — Water
Other
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FEES: Valuation
$ P ermit Fee Paid $ / S O Park Dedication $
ISSUED BY Date 772-s Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #