Loading...
HomeMy WebLinkAbout0019908-Electric (2 boilers) � CITY OF OSHKOSH N°_ 19908 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS � � PLAN NO. OWNER 1- � �� DESIGNER USE/NATURE OF WORK��D �1�� � 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 ��ZG � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches� Receptacles 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: Valuation $ V• � Permit Fee Paid $ �` � Park Dedication $ ISSUED BY Date �—��` �� Final/O.P. ���/ `� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� ��c� �� � � � / C,� AGENT/OWNER DATE ADDRESS TE�EPHONE# � � �� / _/�7'�� , PERMIT NO. C < S , APPL. ATE � � i p ELEC. COI�ITR. � . � � � OWNER ���� �"� � � �� pT` �� � � P.DDRESS � � NATURE OF WORK � ' � pr—c--G y� � � ELEC. SERV. NEW CHANGE TEMP. DESC. '�YPE VOLTS AP�S � � FIX' S � SW' S RECEPT' S CIRC' S � i APPLIANCES � � ' SIGNS ' INSP. ROUGHIN SERVIC� FINAL b�" '� � �} EST. COST �� � PERMIT FEE C� DATE PDJt'!1-?'0 REMARKS � � ; E < n � s . I