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HomeMy WebLinkAbout0015818-Electric (service change)~ CITY OF OSHKOSH N° .15818 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ~LBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS `"~ g 9 ~)~`'K. L(~~~ ~ PLAN NO. OWNER ~r~Q~ 1"" Ira-n-~C- DESIGNER USE/NATURE OF WORK :~r~ ~ ~-~ ehana 2 ~~ -- ~ ~ © ~~ y3 `~ a BUILDING CONTRACTOR Size Foundation Class of Const. # Stories Height . Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~ ~ ~ I Qe ~ ~ , .l Electric Serv. New ^ Change ~ Temp ^ Type 3 w Volts1~°7~D Amps ~~ Fixtures Switches ~_ Receptacles ~- Circuits ~~ 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 0 FEES: Valuation $ ~~ ~- Permit Fee Paid $ /~~ Park Dedication $ q' 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 ADDRESS Sq. Ft. # Rooms ~~I/ aIT- DATE TELEPHONE # PERMIT NO. ` ~ ~f ~__ , APPL. DATE / ~"S `~~. ADDRESS ~ / C' C' ~'i .~L'L-~~~-~'"