HomeMy WebLinkAbout0047226-Electric 4u /z.
CITY OF OSHKOSH N� 47226
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2- `K SG4 /ice D - ( /
PLAN NO
OWNER f ��_
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 -1 Electric Serv. Ne ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles P 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 $ Ve Permit Fee Paid "-e. O --
$ Park Dedication $
ISSUED BY 9/t— Date Q/
/J/ J Final/O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #