HomeMy WebLinkAbout0036390-Electric (service change)(n3 ~
/~ CITY OF OSHKOSH N° 36390
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~l 99 PLAN NO.
OWNER .!t ,,_/ili~"-
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR /Gt.e./'L~
Electric Serv. New ^ Change~Temp ^ Type ~ Volts ~ Amps 0 4
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
- BT - WH - DisP - WSoft
-Lav - Sh -DW -DF
- WC - FDr - SP - Ur
-Sink ._ LTub -Eject _. SS
Other
- CBasin
-San. Sewer_
-Storm Sewer.
- Water
FEES: Valuation $ Q ~ ~ Permit Fee Paid $ d ' ~ J Park Dedication $
ISSUED BY Date ~ S~ Final/O.P.
In the pertormance,6f t~ii~work I agree to
SIGNATURE
ADDRESS
DA E
all work pursuant to rules governing the described construction.
TELEPHONE #
PERMIT NO . . 3 L 390 . APPL . DATE 9 L 3 /hj3
ELEC. CONTRAD. ~'L.~c~'~-
OWNER v~-c-~ ..~
FIX'S Sw'S RECEPT'S CIRC'S
APPLIANCES
tcr;r~xx~