HomeMy WebLinkAbout0046237-Electric (a/c) CITY OF OSHKOSH
N°_ 4 3 7
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECJ PLBG ❑ SIGN ❑ ZONING FLOOD PLAI HEIGHT
ADDRESS �, . i< rr _ , -:,‘i/ . �i PLAN NO.
OWNER 7
DESIGNER
USE/NATURE OF WORK a.L £>-_-'
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 g a L?
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 $ /S 0' Q 0 Permit Fee Paid $ f a fl Park Dedication $
ISSUED BY
Date AV 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 #