HomeMy WebLinkAbout0015941-Electric (service change)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
15941
TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
.. --.... -.... --............ --.... --.. --.... -.. --.. --.. --- --......-...........-.... --.. -- --.. --........--
OWNER
11~1
f>L-11/hr~
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;U(J:nR?UA&,
I
PLAN NO.
ADDRESS
DESIGNER
USElNATURE Jrlc; ft:;t:'JiC'i- foDtiJ (DO
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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 lSZ C led
Electric Servo New 0 Change~~emp 0 Type 5W
Fixtures Switches ~ Receptacles
VOII~ ;;JOO
Circuits
11],
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
FEES, valua~~"",,
ISSUED BY .~
Permit Fee Paid $ :.s,~ 00 V-".
Date I tJ-/?- %"7
#' '
Park Dedication $
Final/O.P. )0 -/'1-07
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Jrh f!~~cw,
l AGENT/OWNER
/D-/g-tC;
DATE '.
SIGNATURE
ADDRESS
TELEPHONE #