HomeMy WebLinkAbout0048254-Electric (garage) CITY OF OSHKOSH N° 48254
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECyk PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 75 2 — / 7
PLAN NO.
OWNER & )��! �✓
DESIGNER
USE /NATURE OF WORK .4.1 f..C)r 54A.—
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 rece / ' 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: �� o
S Valuation $ 3 7 S Permit Fee Paid $ "2o • ° Park Dedication $
ISSUED BY 2.-k– Date / /1 */5 )' 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 #