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HomeMy WebLinkAbout0032955-Electric (service change) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 63/j N2 32955 TYPE: BLDG 0 HTG 0 ELEC ~G 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS c; 2. 8 OWNER Jo ~1/1 !/t{vYl a ~/_A tI-Q ~ G'y /eJ PLAN NO. DESIGNER ,..n/!f . r;,e/'f /'0 loo/! J /-1 T~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System ,1''- Heat Loss BTU'S ELECTRIC CONTRACTOR /"'l Y e Ie e-1rl C Electric Servo New 0 Change ~p 0 Type ~ VOltif:2.l>~ l/D Amps to .0 Fixtures Switches Receptacles Circuits oe- ,e PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ LTub _ Eject _SS _ Water Other Permit Fee Paid $ .) 5" =::.-- Date ,j-/(7 -? J ... Park Dedication $ Final/O.P. ? -('0 -? 3 -- - ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ C/7hLU'O I AGENT/OWN~ :3 -(15- ~< DATE ADDRESS TELEPHONE # E EC. SERV. NE'i /" DESC. T~PE ]- IY - 6 F'!X' 'S S\'t ' S AEPLI~CES ~ PERM'!T NO. - ELEC. CONTR. ~ER . ADDRESS N~ RE OF WORK CH~GE VOLTS RECEPT I (!} SI'GNS INSP. ROUGH'!N EST.. COST REMABKS ~Od';1''-- ...-- ~ SERVICE ?INJlJ.. _ID-9 PERMrr FEE '7"~ D/\,TE PD. -<tJ.-7J =