HomeMy WebLinkAbout0038908-Electric (exhaust fan) CITY OF OSHKOSH N2 38908
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS dZ 3 3 a edizCit.aeC-7,-,
PLAN NO.
OWNER
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 .19.4././Z
. ./. /Y
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 �ds o .�
aluation $ Permit Fee Paid $ ( --C 1 -42 Park Dedication $
ISSUED BY ° ��0�v�/� ��t�t,(,(�,y�.� Date 'f i`/ 9 �t
Final /O.P.
In the performance of thi- ork I agree to perform all work pursuant to rules governing the described constrdction.
/�� 7
SIGNATURE 72.1
AGENT /OWNER / DATE
ADDRESS
TELEPHONE #
PERMIT APPL DATE � � C
NO.
ELEC. CONTR. AOW
OWNER V '`` —
ADDR _ S (3 3 e
NA RE OF WORK .
ERV. NE VOLTS
AMPS
C. TA RECEPT'S CIRC'S
FIX'S SW 'S
S
GN T. N SERVICE FIN 41
NSP O - RM T F E / 10-0 DATE PD. AM
E T COST
T
R "KS