HomeMy WebLinkAbout0025001-Electric (service change)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
25001
TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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(~ ~~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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,5 -ft;tJ ~ f.-/t:?LJ
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR W 11z:-..~ '-t: {; /c c:::: 1/ t.-L
Electric Servo New D Change~ Temp D Type ~. Volts_
Fixtures Switches' Receptacles K Circuits
AmpsL cro
D(
o#-
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PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_ San. Sewer
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
_ Eject
_SS
_ Water
r Other
ISSUED BY
t9 CJ ~ermit Fee Paid $
Date
"..c
:2..CJ ~
3" - ,;;z,~ -9 /'
~/
~
FEES: Valuation $
Park Dedication /
Final/O.P. '-,;?-'7- 9/
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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DAT'€ .
ADDRESS
TELEPHONE #
ADDRESS
NATURE OF WORK
DATE c::: -.2 .r -;7 /'
I
PERMIT NO.
ELEC. CONTR.
OWNER
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
CHANGE
~ 'iA> VOLTS !;?-cJ 'f
RECEPT'S
TEMP.
AMPS/o
CIRC'S
SI'GNS
INSP. ROtJGHIN
EST. COST
REMARKS
FINAL &" 27 -atj
DATE PD '$-.2{r