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HomeMy WebLinkAbout0031251-Electric (service change) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 31251 TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - . - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER / ~ 2-3 ;0, kc 4rilzc?nq 1~C1t11 e r. ~I PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK Cl-1I4 n 5 C- S~rr J JC:~ {'r~~ &O~lYlf 10 /Ctl4rrp BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S Fixtures ;;ie(~~~ New D Change..k\j Temp D Type ~ Switches Receptacles .x Volts /lI)6JtJ Amps ~ Circuits X ce- ELECTRIC CONTRACTOR ChOlAln Electric Servo ..f'l ~ f>LUMBING CONTRACTOR _WC _Ur _ CBasin _ San. Sewer _ Storm Sewer _ Water _Sink Other _FOr _ L Tub _Disp _DW _SP _ WSoft _OF _BT ------0- WH _Sh _Lav _ Eject _SS FEES: valua.~ ~ ISSUED BY ~ / ~C7'~ II' Permit Fee Paid $ Park Dedication $ Date /l9 .... 7'1.2.' Final/D.P. / 6 -t. -? ;2.-. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE tZ~/l i8 d~ AGENT/OWNER Oc/9 I )Z DATE ADDRESS TELEPHONE #