Loading...
HomeMy WebLinkAbout0014898-Electric (service) � �_ CITY OF OSHKOSH N° 14898 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �G /i � /�� PLAN NO. OWNER_ �-��� � DESIGNER USE/NATURE OF WORK �G✓`G2� BUILDING CONI'RACTOR 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 � C�• Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures_� Switches Rece tacles k ---�--- p 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: Valuatio $ �—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__ �'�'�CG�� a�"y AGENT/OWNER `���� � ,1 �� � DATE ADDRESS TELEPHONE#