HomeMy WebLinkAbout035173 - Electric (new home) CITY OF OSHKOSH N°- 35173
(46-9). PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 1—PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 Zff / ���*/�� PLAN NO.
OWNER c Sr7"le{'9 ? Gj}'Zf .&
DESIGNER
USE/NATURE OF WORK A-4:,-f./ /64 f--
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 `,.,1-? - L . / '" 6-
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Electric Serv. New Change ❑ Temp ❑ Type 0c6/ Volts 2 Tv Amps/&"e-7 ��
Fixtures (L, — Switches _0‘ Receptacles f Circuits _ii".
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
C e' C
FEES: Valuation CO Permit Fee Paid $ e, c. "--- Park Dedication $
ISSUED BY J /4,�44114/ '- Date 7 !cy— 7._, Final/O.P.
In the performance o)his work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE .%c .'C=° ` e,-1'Gxc-Gr�`�" `"-7 2 - ��,'
AGENT/OWNER DA E
ADDRESS
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