HomeMy WebLinkAbout0047228-Electric (a/c) W Z'
CITY OF OSHKOSH
N2" " 47228
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / l ZO PLAN NO.
OWNER /<e#- 4
DESIGNER
USE/NATURE OF WORK f'4
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
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
FEES: Valuation $ ' ' ' 8 > Permit Fee Paid $ 7/ - - Park Dedication $
ISSUED BY 2/ Date r `1 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
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