HomeMy WebLinkAbout0041898 Electric (Service)� ��
^ CITY OF OSHKOSH N� �����
� PERIUIIT - APPLICATION AN� RECORD
TYPE: BLDG ❑ HTG ❑ ELEC �'J PLBG ❑ SIGfV ❑ ZONING _ FLOOD PLAIN- _ _ _ _ HEIGHT - _
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ADDRESS / �/ �"/
. �
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CO�
Size
Foundation
Sq. Ft.
# Rooms
Class of Const.
# Stories
PLAN NO
Height _
Occupancy Permit
HEATING CONTRACTOR
H�,�at ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
FI FC`TRIC` C'C�NTRAC'T(�R ����� ���-��_�
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
._ BT — WH
_ Lav — Sh
_ WC _ FDr
— Sink — LTub
Other
— Disp
_ DW
— SP
— Eject
_ WSoft
— DF
— Ur
— SS
— CBasin
— San. Sewer_
— Storm Sewer
— Water
FEES: Valuation $ ! R � ��� ' D � Permit Fee Paid $ �7sr° `' � � Park Dedication
ISSUED BY `'�'"�'�"� -�������'� Date ��/� '1� � Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENTlOWNER
DATE
ADDRESS
TELEPHONE #