HomeMy WebLinkAbout0019819-Electric (service change)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19819
TYPE:
BLDG D HTG 0 ELEC ~D SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS if:~ ~f
OWNER - -
PLAN NO.
DESIGNER
USE/NATURE OF WORK
~'-" -411l~
;2 - ;.3 c:J ../6- 3-/c.? 2>
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 ~mp 0 Type ~ Volts)~/:)YO Amps ~
Fixtures Switches I -- Receptacles Circuits ~
.~
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
Permit Fee Paid $ 2tfJ ~ V.....
Date ?,?~. j7 c:J
Park Dedication $
Final/O.P. 8' - ?-9/?
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU E~/J_ /~ ~r-Ip(j'
~ - AGENT/OWNER DATE
ADDRESS
TELEPHONE #
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PERMIT No.l7rl r . APuzr~ I-ZG?
:::~ CONTR. ~ ~ ~C
ADDRESS /7c1(f- ~~-
NATURE OF WORK ~___
,
SI'GNS
INSP. ROUGHIN
EST. COST <j dd-
REMARKS
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
o FINAL : - t"-~ro :
DATE PO .-~~~"f;J I
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