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HomeMy WebLinkAbout0027303-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 27303 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT .. ...-- --.....-... --... -..... ---.. -- -----... --.....- -- --- -- --.. --_..- --.. --...-....- --.. ---- --.. OWNER g~ Cf '/t)V"'7 .- ~ tlt.J I () / ~eqf4.Y1 V I -<--fie vJ OVl PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK 'TO looA c t 4'7 q-e" ./ 3kJ S e;rVI ~ .-e ~ 1~ Ft/'ev-vl , 304 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 /1/'1 Y C I"", L 7-r-, c C ,(J r pJ. , Electric Servo New 0 Change [fj--Temp 0 Type.3 l{) Volts 12~'ltJ Amps I PO >t: Fixtures Switches Receptacles L-", Circuits G-- <i 1fJ. PLUMBING CONTRACTOR _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _WH _Sh _ San. Sewer _BT _WC _Ur _ Storm Sewer _ Eject _SS _ Water "y FEES Va14_ $i; c!~ ~ ISSUED B tJ2 ~-1.. /' Permit Fee Paid $5?S:::"::-- ,/' Date -;...- (~ -? A Park Dedication $ Final/O.P. 1- 9 - 9.2- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (' /'Lt1 h ~IA,~"!ad-~ ( ;2 j. ~.?- " I AGENT/OWNER . DATE ADDRESS TELEPHONE # PERMIT ",0.;2./ ~ cf 3 _' ~TE /~ Y-;7;L. = ELEc. CO"'TR: ~ ,t?ij :& ~ ' _ ~ 2:.~ cJ~~ ~DRESS 7~/ -637- ~~URE OF WORK ~C. SERVo /JEW -=- CRlINGE'<:,' DF ,SC. T. YP E ;;L -? cJ ? i.V VOLTS.. (.=?~ >- '-10 nx'S SW"S RECEPT'S:: 2 ~AP PLIANCES ~ ~ _ SI"GNs ( INSP. ROUGH:rN SERVICE . . _ FINALI .~...... EST. . COST PERMIT FEE r'.,~. DATE PD.2"~ ~S --= ~- = ~J TEMP. ~s /G) 0 CtRC's ~