HomeMy WebLinkAbout0039848-Electric (service change)
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N2
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
&3'1
39848
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ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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
Electric Servo New 0 Change ~Temp 0 Type t1 6-
Fixtures Switches Receptacles
Circuits
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasin
_WC
_FDr
_LTub
_SP
_Ur
- San. Sewer
_Storm Sewer
_Lav
_Sink
_Eject
_SS
_Water
Other
/
FEES: Valuation $ 700.", <> Permit Fee Paid $ 3S:-:0ð ¡
ISSUED BY ~ .JdÁA..d~ Date tP/f/9 Y
tl l ' .
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNEA
DATE
ADDRESS
TELEPHONE #