HomeMy WebLinkAbout0017346-Electric CITY OF OSHKOSH N2 17346
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC )LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 fi 3 J / raligQe-/ PLAN NO.
OWNER 1 Vo1
DESIGNER /
USE /NATURE OF WORK Al / i -i /Q! (.mo
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 d' Volts / __'_° Amps 300
Fixtures / Switches ( Receptacles Circuits 2 (:)7)(:)_______--
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
( . e.) c c--7--, L t 6'
FEES: Valuation $✓ - .■ Permit Fee Paid $ --- - Park Dedication $
ISSUED BY I " i f i el . Date i ` � Z Final /O.P. "7— ' � a� — /0
In the performance of t s work I agre: is pe • m all work pursuant to rules governing the described construction.
SIGNATURE 1 Pk — 1 '"''i a
AGENTIOWNEa DATE
ADDRESS
TELEPHONE #
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