HomeMy WebLinkAbout0036337-Electric (service change)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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36337
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ADDRESS 5.3( ~
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTORÞ1t. z:fictl"¿ 0
Electric Servo New 0 Change~ Temp 0 Type "3q) Volts ~
Fixtures Switches Receptacles ~ Circuits
þ~"'Z.-~~
Amps Za '"
PLUMBING CONTRACTOR
_Sink
Other
_FDr
_LTub
_Disp _WSoft - CBasin
_DW _DF - San. Sewer
_SP _Ur - Storm Sewer
_Eject _SS _Water
_Lav
_WH
_Sh
_BT
_WC
/
Permit Fee Paid $ S-O.O <:) /
Date I Ò Ir,jq 3
f '
Park Dedication $
Final/O.P.
ISSUED BY
In the performance 01 this work I agree to perform .11 work pursuant to rules governing the described construction.
1
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DATE
SIGNATURE
ADDRESS
TELEPHONE #
~y:
PERMIT NO. 3~33 7
ELEC. CO~TR. ,In') "
OWNER ~ f.-nAA £
ADDRESS 53 / ~
NATURE OF WORK
,APPL. DATE 9/2-3/1-:1
ELEC. SERVo
DE C; TYPE
. FIX'S
APPLIANCES
SW'S
(~c, 0
VOLTS ~t<J
RECEPT'S
TEMP. ~
AMPS 2--00 <1
CIRC'S
NEW
SIGNS
INSP. ROUGHIN SERVICE
EST. COST 'PC . P D PERMIT FEE
REMARKS . ~ ø A'lL/ -z...~ r
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