HomeMy WebLinkAbout0043181-Electric (garage) � � � �
No � 43181
� CITY OF OSHKOSH `
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT '
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ADDRESS T�'S � PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CON7RACTOR
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� ���� �y � ���
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
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FEES: Valuation $ ��'O d Permit Fee Paid $ S�d' °� Park Dedication $
ISSUED BY � Date ,������� Final/O.P. ,
In the performance of this work I agree to perform ali work pursuant to rules governing the described construction.
SIGNATURE
AGENTiOWNER DATE "
ADDRESS
TELEPMONE N