HomeMy WebLinkAbout0025548-Electric CITY OF OSHKOSH N° 25548
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ii/14. PLAN NO.
OWNER 0
DESIGNER
USE /NATURE OF WORK _ 0. �� d if,
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 ii-e."
Electric Serv. New Change ❑ Temp ❑ Type 1 G.Yq AVolts, Amps. J
Fixtures 4 . Switches L _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
.
FEES: Valuation $ ) e Permit Fee Paid $ P5
Park Dedication $
ISSUED BY_ 7e1 Date /0 f 7/
Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 6 ^/`
AGENT /OWNER r
DATE
ADDRESS
TELEPHONE #