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HomeMy WebLinkAbout0019468-Electric (service change) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 19468 TYPE: BLDG 0 HTG 0 ELEC ~LBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT A~~R-E~~ - - -~ -~;; - ~~ - - - - - - - - - - - - - - - - - - - - - ~~~ ~~- - - - p - - - - - 0~. OWNER DESIGNER ~~, - - ~-~t? USE/NATURE OF WORK ~.3-;:2...<:!'TO BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. s HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System ELECTRIC CONTRACTOR Electric Servo New ~hange 0 Temp 0 Type _ Volts _ Amps ~ Fixtures ....,....- Switches ----- Receptacles -- Circuits Heat Loss BTU'S v PLUMBING CONTRACTOR _BT _WH _Disp _ W$oft _ CBasin _Lav _Sh _DW _DF - San. Sewer _WC _FDr _SP _Ur - Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation Of < - Permit Fee Paid $ Date , ./ ,j -' " .35~ 7-/ r-9ZJ Park Dedication $ Final/O.P. ? -.30 ~ ~ IJ ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~70. SIGNATURE ADDRESS TELEPHONE # L \. 7-~-ytJ O~iR - - ~ TEME . ~S -;<." C> C!RC'S Et.$C, SERV. DESC, TYPE F!X'S AEPt..!~CE S!'GNS !NSP, ~~!N ~T. COST REMAB1<S