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HomeMy WebLinkAbout0033938-Electric (service change & misc) ~ CITY OF OSHKOSH N2 33938 PERMIT - APPLICATION AND RECORD 6::>3'1 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS IV:;.? ~ ~-#~ . 6'.;'4/lJ{ 1 PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~~ 4,(~ .,2 ...3b ~ i?~/() () ??/~ ~ "'''J/'.... BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR ~ , Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /~rL--, ~~ Electric Servo New 0 Change [B"'Temp 0 TypeO.!I. Fixtures ......-- Switches V Receptacles./' VOlts~ Amps ~ Circuits ...-- B------ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ) , . t>-O Permit Fee Paid $ 35' #-0 Date ,-2.0-D Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUREPd .If AGENT/OWNER .s-';).o-Q3 DATE ADDRESS TELEPHONE # PERMIT NO. .3 3'1 ? f . J,PPLo DATE )-t -9) ~LECo CONTRo )l:7i~~ ~ /' ~R "~~ /1./:2-9- ft~4 " =idO ~ CIRC' APPRESS .--~ NA.rURE OF WORK =- Et.~C. SERV. NEW DESC. TYPE h- ~IXIS .~ SW'S APPLIANCES . ..c/ ; FINAL !J () IJ It" . DATE PD .F--.}.tJ-1' SI'GNS INSP. ROUGHIN EST. COST qtJ . REMARKS SERVICE PERMIT FEE -~