HomeMy WebLinkAbout0025659-Electric (service change)_CITY OF OSHKOSH N° 25659
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~''"~ ~ PLAN NO.
OWNER_ t~"TI~~ ~,~~rY"1('Yl~j
DESIGNER
USE/NATURE OF WORK ~!C'~~®~,. ~ -- 3~ ~ ~ ~~dd
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
# Rooms # Stories
Class of Const.
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp ^ Typ~~~! '~/ Volts ~~ ~ Amps Od
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
FEES: Value
ISSUED BY
SIG
~ ~ ~ ~~J` c~` - Park Dedication $
Date ~U` "-,~~~ Final/O.P. _ ~ l `!
DATE
ADDRESS
-I pp
G'~~j
TELEPHONE #
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.