HomeMy WebLinkAbout009865 - Electric (AC) 41) CITY OF OSHKOSH No 09865
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 1"PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7 i 3 Alif v ". Inn— PLAN NO.
OWNER E ef/Cit H- 11
DESIGNER
USE/NATURE OF WORK A I/
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation_ Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR S127
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits..�� a —
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /0 -) Permit Fee Paid $ `t Park Dedication $
ISSUED BY l) Date r f Final/O.P. g —4,--77
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE s,,t-_, s-/ -eV
AGENT/OWNER DATE
ADDRESS
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