HomeMy WebLinkAbout0037813-Electric (service upgrade)
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CITY OF OSHKOSH Ng
PERMIT - APPLICATION AND RECORD
(,3,/
37813
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ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
t
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~
Electric Servo New 0 Change,& Temp 0 Type!!k Volts~"() Amps ~
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_BT -WH
-Lav -Sh
_WC _FOr
-Sink -LTub
Other
FEES: Valuation $
ISSUED BY
SIGNATURE «-
ADDRESS
_Disp -WSoft - CBasin
_OW -OF - San. Sewer
-SP -Ur -Storm Sewer
-Eject -SS _Water
CÍt(dl. f:;'
Permit Fee Paid $ 0'0<)
Date /, <:¡ V
Park Dedication $
Final/O.P.
e orm all work pursuant to rules governing the described construction.
DATE
TELEPHONE #
103 Y
PERMI; NO. 37,f13
ELEC. CONTR. £h4- /4
OWNER 21 tf-e<r
ADDRESS II C; W
~- NATURE OF WORK
,APPL. DATE
9/z..3 /f3
Ic,£~
TEMP . ~
AMPS/,,'" "
CIRC'S
SW'S
~
RECEPT'S
~EC. SERVo
D SC. TYPE
FIX'S
APPLIANCES
NEW
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
.0 '"
SERVICE
PERMIT FEE