HomeMy WebLinkAbout0008257-Electric (a/c) � CITY OF OSHKOSH N°_ 08257
`' PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ❑ HTG ❑ ELE§,�" PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ��� �/�' � /'�- PLAN NO.
OWNER ���C�+ ( ` ,�=�L�V GU
DESIGNER
USE/NATURE OF WORK ,
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� � � ,
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuit l
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 $ �• �� Permit Fee Paid $ •6� Park Dedication $
ISSUED B Date 5 ` � � — � � Final/O.P. � ��— ��
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � �G � � �
� AGENT/OWNEFi DATE �
ADDRESS
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