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HomeMy WebLinkAbout0043720-Electric (service change) ._"_..""^-~'""'_.'''' --...-----...-~-.-...-.-~.~.",..,...:__~:::::;:::;:",;:,.~;;.:.':"- .-_.._...,---'-_.,....~-~.7.-:.-~.:-:--:.;-:--,:::;,;;,....-:':-------;-c-'~.......~-- ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD C?57 N! - 43720 . ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ 1 ~~B~ _ C? _ ~'~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS /cf3/ aj~__. PLAN NO. OWNER ~. ~"7 DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR('~ Electric Servo New 0 Change~Temp 0 Type~ vo,ts5d AmpsL!:IL Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _ Eject __SS FEES: Valuation $ ~ . a'Z> Permit Fee Paid $ ISSUED BY ~~~ Date i ;:21 , to .0 rll IJ-j 7 ~ J"- 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/OWNER DATE ADDRESS TELEPHONE #