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HomeMy WebLinkAbout0022382-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 22382 TYPE: BLDG D HTG D ELEC ~ PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - -/~~- - - - - )'i~ i . - ~;; - - - - - - - - - - - - - - - - - - ~L~~ ~~- - - - - - - - - - - ()Jh ~6 ft~LO ~h)j~)~ , 1 OWNER DESIGNER &atV/ClS ~ - (;,f!; ~" ) '"Z). "C' ()(1 CJ . II. USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const, HEATING CONTRACTOR ~ Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ ( . Electric Servo New D Change ~ Temp D Typ~ VOltJ~Amps .' Fixtures Switches Receptacles ~-circuits ~ {J'II'ff 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 ISSUED BY Perm;! Fee Po;d $ 3.7~ Date .:2-14~7 / Park Dedication $ Final/O.P. / --I 7 '- Jf/ I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 'Z-/~ if D E ADDRESS TELEPHONE # S I'GNS INSP. ROUGHIN EST. COST 'tfO~ REMARKS ~ / ;7-?' PERMIT NO. ELEC. CONTR. ".--.. OWNER ADDRESS NATURE OF WORK ELEC. SERVo DESC. TYPE FIX'S APPLIANCES CHANGE VOLTS RECEPT' t! .eq TEMP. ~ AMPS' \CJ CIRC'S B