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HomeMy WebLinkAbout0019658-Electric (service change) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 19658 TYPE: BLDG 0 HTG 0 ELEC W PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DESIGNER PLAN NO. ADDRESS OWNER USE/NATURE OF WORK SfiZVLce Ch~(; , ? - :)0 16 7- 100 () I II- 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 Electric Servo New 0 Change ~/ Temp 0 Fixtures Switches Receptacles Circuits {) I I~. ~ PLUMBING CONTRACTOR _Sink Other '" _FDr _ L Tub _Disp _DW _SP _ WSoft _ CBasin _Lav _WH _Sh _DF _ San. Sewer _BT _WC _Ur _ Storm Sewer _ Eject _SS _ Water ISSUED BY 6' 01(.; CJ .:::---- Permit Fee Paid $ Date ;Z6)~/ 7 --3 1-- 1'?J Park Dedication $ Final/O.P. '7 - J I ~ 9t' agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~'::;;()I ?t! DATE ADDRESS TELEPHONE # PERMIT NO. ) -;2 ..5- - YC' ELEC. CONTR. OWNER ~ ~ ADORESS ///7 - ~/7 -... NATURE OF WORK . G/ S I'GN S INSP. ROUGHIN EST. COST L.{4de..::;- REMARKS CHANGE VOLTS 1.:L:('l. RECEPT S V I~~ S ERVI c!iJ.- 7 *--'117 FIN AL'7 -ll-~ PERMIT FEE 2- d -=- DATE PD '7-J/-f'. TEMP. AMP !,,~ CIRC'S ~