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HomeMy WebLinkAbout0004049-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 04049 TYPE: BLDG D HTG 0 ELEC{;g( PLBG 0 SIGN D ZONING FLOOD PLAIN HEIGHT .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. -.. .. .. .. -- .. .. .. .. -- ... .. .. .. .. .. .. .. .. .. ...'- -.. ... .. .. .. .. .. .. .. .. .. .. .. .. ;", .. .. .. -- .. .. .. .. ... .. ADDRESS \ ~~O OWNER Gle" b'ls~ork Scharp+' PLAN NO. DESIGNER USE/NATURE OF WORK nee..") t)"d Set u\ cP r~p\ a0~ 00 b\ p D.el r\ 0Q{1'P \ -3 -\ 00 1-." , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Fixtures Switches " Temp D TYP~ Volts I;;t.; l-i'O Amps /50 Receptacles Circuits 9#), 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 , I .. .. .."..... D' . tI ~ :2....&..!:--- Permit Fee Paid $ Date 4 - If- 'Z7 Park Dedication $ Final/O.P. f?...5 -9 7 ISSUED BY In the performance of this work I agree to perform all work pursuant td rules governing the described construction. SIGNATURE--"--~ ~ ADDRESS Co ) 1-(- } g"l DAtE TELEPHONE # ELEC. CONTR. ~--IJ-g 7 OWNER ADDRESS NATURE OF WORK 13 JC/ - -tf3~ ~~..~''I-..~~~~ CHANGE T~MP. VOLTS ';':U"f~ AMPS / 7 ~ I.-V -c?-#--RECEPT'S eIRC'S NEW ELEC. SERVo DESC. TYPE FIX'S APPLIANCES SIGNS INSP. ROUGHIN EXT. COST REMARKS SERVICE . 1-/ DO Z-- PERMIT FEE 2.JJ .... FINAL;- -5-77 DATE PD.t -1f-~1 I.,.., ..f;