HomeMy WebLinkAbout0024751-Electric (new home) CITY OF OSHKOSH N°_ 24751
41Cip, PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 4 -KBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS �d ..f.-...—. - PLAN NO.
OWNER x
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 6ange ❑ Temp 1=1 Typal/4Z Volts '/.` Amps /�
Fixtures — witches Lam- Receptacles (.- Circuits 4� 9LC)
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
FEES: Valuation �� -- e�
$ Permit Fee Paid $ Q c� / Park Dedication $
ISSUED BY _.0...-1 Date U l .Z - // Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE i ' �rL y � '�. -
•1411111 GENT /OWNER DATE /
ADDRESS
TELEPHONE #