HomeMy WebLinkAbout0035939-Electric (service change)~~`~
N°_ 35939
CITY OF OSHKOSH
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS _ ~ ~ ~~ ,,~,.~5 mil` PLAN NO.
~ i ~ 17 i .,
OWNER
DESIGN
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ FueVSystem Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change
Fixtures Switches -
Temp ^ Type ~ '~ Volts3 ~ Amps ,~
Receptacles Circuits
PLUMBING CONTRACTOR
-BT - WH
Lav ~ _ Sh
- WC _ FDr
-Sink _ LTub
Other
- Disp - WSoft _ CBasin
DW _ DF _ San. Sewer
- SP - Ur _ Storm Sewer
-Eject _ SS _ Water
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FEES: Valuation
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Permit Fee Paid $
Park D
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$
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ISSUED BY Date ~ Fi
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In the perforrrlance of this work I aglee to pertorm all work pursuant to rules governing the described construction.
ADDRESS
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DATE
TELEPHONE #
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PERMIT NO . /~"3 ~ . APPL . DATE of ~ 1C13
ELEC CONTR a~~ 7~
OWNER
• ADDRESS IO 2Z~~
NATURE OF WORK
APPLIANCES
REMARKS