HomeMy WebLinkAbout0045918-Electric (a/c) N2 �/L
CITY OF OSHKOSH N- 45918
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
,g( PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS e 1 0 A PLAN NO.
OWNER 2y( / 2y% , L_-
DESIGNER
�A USE/NATURE OF WORK 1 �j
de
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 / 940
Electric Serv. New ❑ Change If 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 $ `- • 0- Permit Fee Paid $ IX' a /4 J r
Park Dedication $
ISSUED BY Date / 4 •
• '' d 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 #