HomeMy WebLinkAbout0037884-Electric (service change) ~y
~ CITY OF OSHKOSH N°- 37884
`" PERMIT - APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ 2" PLAN NO.
OWNER _ c-~~ ~~ /
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
~~~,~
Electric Serv. New ^ Change~Temp ^ Type JCL Volts~~ Amps d `~
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _ WH _ Disp WSoft CBasin
- Lav Sh _ DW DF _ San. Sewer
WC _ FDr _ SP _ Ur Storm Sewer
-Sink _ LTub Eject - SS _ Water
Other
FEES: Valuation $ 3e D . o ° '
ISSUED BY Permit Fee Paid $ ' S'` ~ ~ 1 Park Dedication $
Date //Z~
Final/O. P.
In the performance of this work I agreQ to pertorm alt work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER DATE
ADDRESS
TELEPHONE N
~-
~9