HomeMy WebLinkAbout0004246-Electric (attic fan) /� CITY OF OSHKOSH N° 04246
: `' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG SIGN Z .
❑ ❑ ONING FLOOD PLAIN HEIGHT
- - - - - - - - -
ADDRESS_ �D`f' � 3/�� PLAN NO.
OWNER_ � I c?S D�'t'{� �I�IS Iih
DESIGNER
USE/NATURE OF WORK_ G�-��i'C. �C'a In
�
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_ /-T�L-/1 11�. �I C L
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures �i Switches � Receptacles Circuits L-=
c
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 $ � d Permit Fee Paid $ Park Dedication $
ISSUED BY Date /1� "'-� O ^�� Final/O.P. ,�=�O —Q�
In the performance of this work I agree to perform all work pursuant to rules goveming the described const�uction.
SIGNATUR LT �-�— ���0-� / y//����
AGENT/OWNER �` �pA�� ,
ADDRESS
TELEPHONE#