HomeMy WebLinkAbout0047625-Electric (a/c) ic I
CITY OF OSHKOSH NQ 47625
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / 2 /3
PLAN NO.
OWNER ,,,
DESIGNER
USE/NATURE OF WORK 04)1 04
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
2
t.-0 y
FEES: Valuation $ 1 73 .9 5-- Permit Fee Paid $ to P ark Dedication $
ISSUED BY
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Date /pig/ P- 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
TELEPHONE 0