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HomeMy WebLinkAbout0035095-Electric (service change) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 0Jy' 35095 ~ N~ TYPE: BLOG 0 HTG 0 ELEC ~BG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ::211~ 3 t/t 42 Ifr9f;n~ I/' ( --t. ~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK SOA - /00.41 . r -e,6/"' . C LH~-'l 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 r Electric Servo New 0 Change ~ 0 Type ~ VoltJ ~ Amps.Lt2...tL Circuits ~ Fixtures Switches Receptacles ~ 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 ~ ~7J ~ ;> Permit Fee Paid $ Date j ):>~ 7-A7~3 Park Dedication $ Final/O.P. 2'- 27 --7,-~ ISSUED BY In the performance of this work I agree to perform al ork pursuant to rules governing the described construction. . 7h'1J-3 DATE SIGNATURE ADDRESS TELEPHONE # t:' ,~ ELEC. CONTR. OWNER ~ ADDRESS NATURE OF WORK ELEC. SERVo DESC. TYPE FIX'S APPLIANCES CHANGE . ? 1(.../ VOLTS RECEPT' TEMP. AMPS/ C7e? CIRC'S~ SrGNS INSP. ROUGHIN EST. COST REMARKS )/!) ~ ~Q} - '-7~?'.. ~