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HomeMy WebLinkAbout0025321-Electric (service change) -- - -----'----------'".,.__._._._...._--_._._..-.~._._--,,--.~_.-"._------~------------.- -._-;"_...-.'-_...-_.-.~._..-..-----,, .-.-..-..-.-----..------ ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 25321 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ 9_ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ~1~) !/li1l- ADDRESS PLAN NO. OWNER DESIGNER ~<<V{(pJ ejh~ i'? . ? -()O i-G '3 .(06 C. H. 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 ~~ (f) IlL d, h 'e / ~ . Electric Servo New D Change W Temp D TypJ t.-.J VOltsl2~d Amps ~ Fixtures Switches Receptacles Circuits , .~ ~ ' ~ PLUMBING CONTRACTOR _BT _WH _Lav _Sh _WC _FDr _Sink _ L Tub ~ Other ... FEES: Valuation $ ISSUED BY _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _Ur _ Storm Sewer _ Eject _SS _ Water D' Permit Fee Paid $ .:2., () ~ Date 9' --/) -7/ Park Dedication $ Final/O.P. )>"';;l--,;;z--9/ rk I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 9- 1(3 C; I DATE ADDRESS TELEPHONE # SIGNS INSP. ROUGHIN EST. COST REMARKS ) PERMIT NO. -;2;:2.-7/ ELEC. CONTR. OWNER ADDRESS NATURE OF WORK ELEC. SERV. DESC. TYPE FIX'S APPLIANCES K' TEMP . AMPS fti' CIRC'S ~ v SERVICE PERMIT FEE AO!!.$- ~l