Loading...
HomeMy WebLinkAbout0035478-Electric (service change) ~ N~ ~3~ 35478 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ (~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ 1'2'23 OfVIJ~f( 0m. S'C~~~!tt1l/\ ADDRESS PLAN NO. OWNER DESIGNER ~.J/( C1fJ ~hMg, J- ~v --6'0 USE/NATURE OF WORK ? - /()[) o ,/pe- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S .;.. ELECTRIC CONTRACTOR Electric Servo New D Change" Temp D Fixtures Switches Receptacles aM Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ <.{ ~ () ,0 0 Permit Fee Paid $ ISSUED BY ~~L4~ Date I .;1.0, val 3j;~ft~ Park Dedication $ Final/O.P. 1-JC( .-93 SIGNATURE ork I agree to perform all work pursuant to rules governing the described construction. fl ~d l~ C() I~ ;DATE I ADDRESS TELEPHONE #