HomeMy WebLinkAbout0036261-Electric (service change)G3 ~F
N°_ 36261
n CITY OF OSHKOSH
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG_^- ELEC- PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / ~O ~y1 ~Qi-~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms # Stories Height .
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 ~ V l L~o Amps ~
Fixtures Switches T_„~ Receptacles ~ Circuits ~
~i~ /~~P.~T Gam/
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
FEES: Valuation
ISSUED BY~
O.a~
Permit Fee Paid $ ~S~ ~ ~ / _ Park Dedication
'' Date ~~-~ ~3 Final/O.P.
In the performance of tt~'~vork I aarPO to r,erform all
SIGNATURE
' /AGENT/OWNER DATE
ADDRESS / Z 35~.-~33 y~
TELEPHONE ~
to rules governing the described construction.
FIX'S SW'S ~ RECEPT'S CIRC'S
AppLTANCES
EST. COST PERMIT FEE ~ DATE PD.
REMARKS
PERMIT NO. .APPL. DATE
ELEC CONTR D ~~~