HomeMy WebLinkAbout0018785-Electric (garage) (14i1-1.TIP/ _CITY OF OSHKOSH N° 18785
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC A4LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS . 1 iP s
PLAN NO.
OWNER S 11
DESIGNER
USE /NATURE OF WORK I % I LI �/d� ♦ ..L AI / - 4 /6)111 .
IA . _ . , - • - m_ = G ..� �rl l/ ,
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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 C.,SC%
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures —� Switches Receptacles i Circuits c
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 $ •- Permit Fee Paid $ �V- / C� Park Dedication $
ISSUED BY , ` /L%� Date `'l0 C Final /O.P. `l ! — 'Pe,
In the performance of thi• work I agree to perform all work pursuant b rules governing the described construction.
SIGNATURE _A_ °t KII■ �/,, 0
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
P DATE -" I 7
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OWNER
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NA it ,t.;__ _ 0 WORK 1ep-6/7' CH RV GE TEND .
4_ -E NEW VOLTS ANA
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