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HomeMy WebLinkAbout0042210-Electric (service change) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD b tf-z-- Ng 42210 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~. ~~E~ K ~~B~ _ ~ _ ~I~~ _~ . ~O_N~N~ _ . _ _ _ . .F~~~D. ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ . _ 3/.t;P (~. ,~ /~~~ /?~~ PLAN NO. ADDRESS OWNER DESIGNER USE/NATURE OF WORK 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)2(. Change 0 Fixtures --Switches VOlts'ft.V Amps /tJi) Temp 0 Type ---- Receptacles __ ---6ircuits --- PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ 'fOOD. <)0 Permit Fee Paid $ ! S- -0.;) ISSUED BY f=I~ "J~ Date/o/JI'I,1' Park Dedication $ Final/O.P. q .;(3. 9 { In the performance of this work I agree to perform all work pursuant to rules governing the described construction. -4 47 40.4 SIGNATURE ~ ~ /0// ~97' F /lATE AGENT/OWNER ADDRESS TELEPHONE # PERMIT NO. <f7.-"Z-lo . APPL. DATE e; //'1/('1 'f ELEC. CONTR. qt~ ...... I I ~~Id OWNER. . ADDRESS 1(0 f - ~ · ~. .; . ~ATURE OF WORK ' E,'11'EC. SERVo NEW frESCo TYPE FIX'S SW'S APPLIANCES /p ..p-t./ CHANGE VOLTS RECEPT'S TEMP. AMPS CIRC'S SI.GNS INSP. ROUGH N EST. COST 00 D BEMARKS SERVICE' 2.. PERMIT FEE FINAL DATE PD. '0