HomeMy WebLinkAbout0023317-Electric (service change)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
23317
TYPE:
BLDG D HTG D ELEC ~BG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS B;o.S-
OWNER ~ a.. V IJ
/1-(1 v pV1 ~ / i1 tA e .
~ c_~ wet j/ -e_
PLAN NO.
DESIGNER
t.J
USE/N
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 /1 V C /-e t tV'" {'c.. ( air j) ,
.. I A
Electric Servo New D Change){ Temp D TypeY'V VOI~ Amps I 00.
Fixtures Switches Receptacles J><...:. Circuits ~
~.
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_FDr
_LTub
_Disp
_DW
_SP
_ WSoft
_ CBasin
_Lav
_DF
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
I'
Permit Fee Paid $
Date
g:r~
5' -/1/ -'1 /
Park Dedication $
Final/O.P. 5"-1'1 "Y/
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ v1k C/ /,L~
/ AGENT/OWNER
C;:!1f'q/
DATE I
ADDRESS
TELEPHONE #
ADDRESS
NATURE OF WORK
~
PERMIT NO.
ELEC. CONTR.
OWNER
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIANCES
NEW
~tR (}
SW'S
TEMP. =
AMPS I (PO; .
CIRC'S
SIGNS
INSP. ROUGHIN
EST. COST 2. 06::"---
REMARKS