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HomeMy WebLinkAbout0017823-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD BLDG 0 HTG 0 ELE~ PLBG 0 SIGN 0 ZONING 17823 TYPE: FLOOD PLAIN HEIGHT OWNER ;:)./ <? 'f! fA..d s t7 ~ ~ oyd /-..~ t-'\. d ~ i I/' tJ Pv'I.. PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK c-h.~~'e $ '"("" '-- ;;2 - )tJ;4. 7-/ CJ 8 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 Servo g;o leA v- 6' (~ lr New 0 Change 0 Temp 0 Type 11- Switches Receptacles Volts02-tfO Amps /tJ'C:/ ELECTRIC CONTRACTOR Fixtures Circuits ~ 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 ~F?/ pc.: Permit Fee Paid $ 7'~.::--- . Date ~~&. -7?J ISSUED BY Park Dedication $ Final/D.P. / ;:2-- ~- Y/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~ . '7 'G'~""'" t-j - b ~- 9t:1 DATE ADDRESS TELEPHONE # 12. - I.f- g f7 PERMIT NO. / t r .:L'~ . APPL. DATE ~" / tfTj7 :: CONTR. ~~_~~ . ~/'6-k~~ ' . , ADDRESS NATURE OF WORK CHANGE TEMP . ,4...- VOLTS 17-. :;;L L/ 0 AMPS t:J 0 . RECE. PT' S. ~..~ CUc' s ""<.... ~~~.~ ~ ffi!.... . SERVICE -l/-2'1 FINAL/2~~'$? PERMIT FE ATE PO. -t-.9l> ~De. 7'" ~<:.- SI'GNS INSP. ROUGH N lEST. COST REMARI<S .f~ ~ ~