HomeMy WebLinkAbout0041479-Electric (service change)~,3 ~
CITY OF OSHKOSH N°_ 41479
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
---------_$c~-7---^-- ----------------------------------------------
ADDRESS "Z~7"`c-~
OWNER ~
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 ~~9~iC_._
Electric Serv. New ^ Change~Temp ^ Type //o` Volts 3 ~ Amps ~ a
Fixtures Switches Receptacles Circuits
.~G !~y
PLUMBING CONTRACTOR
_BT _WH
_ Lav _ Sh
_ WC - FDr
-Sink - LTub
Other
- Disp
- DW
- SP
-Eject
- WSoft
DF
Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation ~ ~ -n _ Permit Fee Paid $ ~~ ~ ° g r Park Dedication $
ISSUED BY Date ~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER PATE
PLAN NO
ADDRESS
TELEPHONE ~
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