Loading...
HomeMy WebLinkAbout0007010-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 07010 TYPE: BLOG 0 HTG 0 ELECte("PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT -- --- --- --"'''''''- --'" --.. --.. --..-.. --... --- -----.. -- ---... ---.. --...-.. -- -- ----... ---- OWNER qO~ 8',s(Y\orl'~\::. G:,. lCCjPJ \ (Y\(){\ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK 0-h~.~ .s-6rUI C'~ )c -- d- -30 --to ~-lOO 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 Lore EteLir\c- Electric Servo New 0 Change IQ/Temp 0 Type _ Volts - Amps_ L--- --- tJJ(\ Fixtu'es L----- Switches c..--- Receptacles Ci,cuits I ~ ' PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other ISSUED Permit Fee Paid $ .I;;2-~ Date.;:::2. --);2 - '9 r Park Dedication $ Final/O.P. / -;;;?- :iT"-- ~ . In the performance of this work I agree to perform all work pursuant to rules governing the described construction. " SIGNATURE'~ ~~ AGENT! NER -2J I L-/ ~~ DATE ADDRESS TELEPHONE # , 0 7tJ/O PERMIT' NO. ADDRESS ~ATURE OF WORK -6~~ ELEC. OWNER -~ TEMP. AMPS I b CIRe's SIGNS INSP. ROUGH IN EST. COST REMARKS SERVI ~PERMIT FEE