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HomeMy WebLinkAbout1988-Electric (service change) /� CITY OF OSHKOSH No 09319 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS--o�L� 1 ����"-� `�t� PLAN NO. OWNER L�(r ��f'�y�7l,n�� DESIGNER �`� , L USE/NATURE OF WORK ��/C(� UL� , '�/�L:l"�--�(�.1 � ��'J' �O ,�',� — /LJC� - ��C-i�ll�'1f�,'%� 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 ' ELE�TRIC CONTRACTOR �, �- C e('L - _j C_ ' � ,�; � �v Electric Serv. New ❑ Change [�' Temp ❑ Type��yVolts"� 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 � G FEES: Valuation $ � �_ Permit Fee Paid $ ,�•� Park Dedication $ ISSUED BY �� Date ���S `" /� �`L Final/O.P. 5���� In the performance of this w I agree to perform all work pursuant to rules governing the described construction. i � �, � i � SIGNATURE 'J l C�� �� � AGENT/OWNER DATE ADDRESS TELEPHONE# �� _ PERMIT NO. � �l � . APPL. DATF'' �� . � CJ CJ ELEC. CONTR. �l�' � 2'�'- OWNER �C%�G��C ���� ADDRESS v� Z ��C-' — ���. .� � � - � NATURE OF WORK ELEC. SERV. NEW CHANG TEI�. DESC. TYPE _ cc� cifi`-�70LTS �� :� �C� AMPS D� �, � FIX' S `S S RECEPT' 'J� CIRC'S� APPLIANCES � r SI�GNS C � z , INSP. ROUGHIN SERVI CE '.� ` : i` F INAL �-��'i EST. COST /S U -� PERMIT FEE �.�—= DATE PD7/f?B REMARKS l_ ��V<<. � — l�i- -st-<, � r"'``c