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HomeMy WebLinkAbout0028516-Electric (service change) ~ -----~_-~-__m_mm-_~m_m___._._-_._-_.- (t) CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28516 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -........................ ADDRESS ~Oro w. /'f7t1 )f1Ar? OWNER (ClV'vV/Óv1 ¡-j Oil f1-{? - I I DESIGNER c/cl¿ USE/NATURE OF WORK 3-PV¡}fc.--e PLAN NO. 7- 6cJ?!t-3-IO¿} BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ if E 1<- c- j- r I' C Eiectric Servo New 0 Change ~emp 0 Type 4- Volts ~ Fixtures Switches Receptacles Circuits Amps ft'D ~ PLUMBING CONTRACTOR _BT _WH -Sh _Disp _WSoft _DF - CBasin - San. Sewer -, Lav _WC _FDr _DW -SP _Ur _Storm Sewer _Sink Other - LTub _Eject -SS _Water FEES: Valuation $ Sð~ / 0 cd- 1/ Permit Fee Paid $;::;¿ --- Date.S" -//-72 Park Dedication $ Final/O.P. 1-f ~ Y-ý 2-- ISSUED BY In the pertormance of this work I agree to pertorm ail work pursuant to rules governing the described construction. SIGNATURE [' .-"..r;. L/ þu 7 Luu-, I AGENT/OWNER S~/;/Ä2 , DATE ADDRESS TELEPHONE # PERMIT NO. 7-- ~ 5t Þ ,APPL. DATE 7"~J'~f/ ~~~ ;}¿JtJ - vv ~ / q--¥/ ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ELEC. SERVo DESC. TYPE FIX'S APPLIANCES NEW - ð SW'S SIGNS INSP. 'ROUGHIN EST. COST 3' ç ð :::.-- REMARKS (~) SERVICEli7{.'f- ; q I FINAL1I-õ-'1 PERMIT FEE 2Ø~ DATE PD.!?"/I-y:z- ~~ -----