Loading...
HomeMy WebLinkAbout0019490-Electric (temporary) CITY OF OSHKOSH N 19490 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC '[BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS `'?�"'�� • PLAN NO. OWNER �'�`-,C 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 e 2.-' ' .- " --. 70 Electric Serv. New ❑ Change ❑ Tem .tQ / p [r Type Volts ! Amps (O_ AO Fixtures Switches Receptacles _ _ X- 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: Valuatio 5 e © ✓— l o� 7 Permit Fee Paid $ Park Dedication $ ISSUED BY Date 7/f ? Final /O. P. � — .2-. — �lfl In the performance of this work I agre: . perform all work pursuant to rules governing the described construction. SIGNATURE AP, �G } G NER DATE ADDRESS TELEPHONE # / 9 7 11 -p _ . DA oEstMTT NO • / � � j��-' E _ ONTR. VO OWNER - i1 N OF WO _ RV • N CHANGE �,� A P X` SW ' S • - E RECEP - C RC ' S s : ,, 1 - ERVICE L - - . /S- G' ROU_' N �_ - T F d D . COST R S f