HomeMy WebLinkAbout0047357-Electric (switches, receptacles & circuits) °p 1 �
CITY OF OSHKOSH N°� ^ 41357
� PERMIT - APPLI I N A R D
CAT O ND ECOR
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS � � � - ��� PLAN NO.
OWNER �
DESIGNER
USE/NATURE OF WORK
BUILDING CON1'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 ��-l`-��
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 $ �'�O • � ° Permit Fee Paid $ ZO '� ''� Park Dedication $
tSSUED BY—�/y Date Lsr � Final/O.P. ;
In the performance of this work 1 agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE A�