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HomeMy WebLinkAbout0024739-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 24739 ~P,E~ , ,~L~~ ,D -J2i', ~~EC [~~LB~ , C? , ~'GN [~ , ~ONING, , , , , , FL~OO ~~'N, , , , , , H~'~~T, , , , , ADDRESS ... ~~ PLAN NO. . OWNER 9C' 9' ~ ~~ DESIGNER ~~ ~~-e-. , ?- 60~ 3 ~ t"C) - USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR 4- ;;.. 7" d Electric Servo New 0 Change ~emp 0 TYP~t(/VOI? Amps /r-c../ Fixtures ~witches ~ Receptacles ---- Circuits '===- 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 Other ISSUED BY / Ad~ 35"~ v . Permit Fee Paid $ Date F'-(~-9/ Park Dedication $ Final/O.P. g - / .2. - r / , ,<' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ ? A-f/ ADDRESS TELEPHONE # STGNS INSP. ROUGHIN EST. COST 5( cJO ~ REMARKS .~ PERMIT NO. :L L-/ ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ELEC. SERVo DESC. TYPE FIX'S APPLIANCES