HomeMy WebLinkAbout0015497-Electric (service change)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
15497
TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
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. 'r, t. (j -10 ,-'). )(J 0
6,11.
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const.
Height
Foundation
Occupancy Permit
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR .-dlvd( J!UJ2IC I ~G . .,
Electric Servo New D Change ~emp D Typ;)----=--0-- VOlts/+6Amps ~
Fixtures Switches Receptacles Circuits
cj};l,
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
ISSUED B
..::----;::;~mit Fee Paid $ .:z.
Date 9' ~/5'" ~~y?
Park Dedication $
R -;5"-77'
Final/O.P.
I agree to perform all work pursuar.: ~o rules governing the described construction.
SIGNATURE
r IS~ATEf7 .
ADDRESS
TELEPHONE #
SI"GNS
INSP. ROUGH N
EST. COST
REMARKS
PERMIT NO.
ELEC. CONTR.
OWNER
ADDRESS
NATURE OF WORK
EC. SERVo
o C. TYPE
FIX'S
APPL ANCES