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HomeMy WebLinkAbout0010945-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 10945 TYPE: BLDG 0 HTG 0 ELEC ~G 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - ( - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #/ckC/#\V ~ / t) I f- (^--I r'~~ OWNER 1706- IJ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK (I Ita Kg-e " S -e,A t/tC~ V- 4.1; lAy::' odd! "f(O;C~ (3 -/0 CJ ;z;;- 3 ~;;Z C)o . 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 ~ {j Ie%. v- F I-e..e-r- Electric Servo New 0 Change ~mp 0 Type 4 Volts d)c7CJ;" Amps ~ Fixtures { _____ Switches L---- Receptacles L----. Circuits c:.---- ~ PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _BT ~WC _FDr _ L Tub _Ur _Sink 1-0 _ Eject _SS _ Water Other - l?~ C Oe/ tJ (J Permit Fee Paid $ ..;/ O~ Park Dedication $ Date I c:J - I "f - % r Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~~;Y~ AGENT/OWNER ADDRESS /t'J/t~/cP~ , DATE' . TELEPHONE # SIGNS INSP. ROUGH EST. COST ~ CJ d:"":--- PERMIT REMARKS ~~W - 7-YY PERMIT NO. ELEC. CONTR. OWNER. ADDRESS NATURE OF WORK E 'EC. SERV. DESC. TYPE FIX'S APPLIANCES CHANGE l....t.../ VOLTS RECEPT TEMP. AMPS 2- 0 C/ CIRC'S