Loading...
HomeMy WebLinkAbout0034523-Electric (service change) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~3Y N2 34523 :~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ ~~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ Ie z,-! ftyi Zffhdt ~ D& VJ~- USE/NATUREOFWORK ~e /J1./c/~~ (po+o /OokJl1F PLAN NO. ADDRESS OWNER DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR <.SEL.-fc Ale- Electric Servo New 0 Change ~emp 0 Type 3W Volts~ Amps.L/)1l Fixtures Switches Receptacles Circuits X . ~ 0-- PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY Permit Fee Paid $ .3<;. 00 Date t - J - 7: '3 Park Dedication $ Final/O.P. ~-/ 5' -- 93 . FEES: Valuatio In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE )12.<:' ?..fc--f.--: (p - '1-7 s J ~~ffi ~ ADDRESS TELEPHONE #