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HomeMy WebLinkAbout0023037-Electric (service change) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 23037 TYPE: BLDG 0 HTG 0 ELECX PLBG 0 SIGN 0 ZONING - - - - - - - - - - - - - - - - - - - - - -IL- ~. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ;;J:);;<3 [j~Jis~, PLAN NO. L~A;7 --n~0.~. FLOOD PLAIN HEIGHT OWNER DESIGNER USE/NATURE OF WORK ,U..ew Srt/IL~ , L 1.0 l v\.e1 ~M. 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 {5~( 1-i4-1/"" F:(<o {' {.- lC Electric Servo New 0 Change ~ Temp 0 TyPeJ~~ Volts~ Fixtures ~ Switches t/ Receptacles ~ Circuits Amps /~ ~ ~ ~ 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 Permit Fee Paid $ Date / 9J. 6b 'I 'i ~ :;J-;2--?/ Park Dedication $ Final/O.P. ;Y ... 2.7 -?/ , - ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ E ~~ fi ' '/-A:~/tJ ADDRESS TELEPHONE # ELEC. CONTR. J-/-. -( ::z - 5) PERMIT NO. :2- ~ ~ '1 " OWNER : TEMP. AMPS /p(7 CIRC'S SIGNS INSP. ROUGHIN -- ./t-ct' EST. COST ;u ot1~ REMARKS ~ FINAL -2E!1 13- DATE PD. -)~-'11