HomeMy WebLinkAbout0020034-ElectricCITY OF OSHKOSH N° 20034
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PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS C�9 3`S PLAN NO.
OWNER 46 IyA2 / Y l
DESIGNER
USE /NATURE OF WORK
Gc� #0 L! Sir 6.4
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
'HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
Heat Loss
ELECTRIC CONTRACTOR 0, "_e�y�zx�� h�-�
Electric Serv. New Change ❑ Temp Type _ volts4a*- ,)Amps A2
Fixtures Switches Receptacles `— Circuits
PLUMBING CONTRACTOR
BT
WH
Lav
Sh
WC
FDr
Sink
LTub
Disp
DW
SP
Eject
WSoft
DF
Ur
SS
BTU'S
CBasin
San. Sewer_
Storm Sewer
Water
Other
FEES: Valuation $ Permit Fee Paid $ �y Park Dedication $
ISSUED BY Date —�U Final /O.P. �� ° 92-3 -!JD
In the performance of thi ork I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ° v
AGENT /OW DATE
ADDRESS
TELEPHONE #
REMARKS