HomeMy WebLinkAbout1994-Electric (service change)(p 3
~ CITY OF OSHKOSH N°- 39940
`' PERMIT -- APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
------------- - ---------------------------------------------
ADDRESS_ / ~ y
OWNER ~l~
DESIGNER
USE/NATURE OF WORK
PLAN NO.
BUILDING CONTRACTOR
Size
Foundation
# Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
- Disp
- DW
SP
-Eject
BTU'S
r
ELECTRIC CONTRACTOR ~~ ,,,,,~.,~
Electric Serv. New ^ Chang Temp ^ Type ~ Volts3 ~ Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
-BT -WH
- Lav - Sh
- WC - FDr
- Sink - LTub
Other
Heat Loss
- WSoft
- DF
- Ur
SS
- CBasin
-San. Sewer_
-Storm Sewer
-. Water
FEES: Valuation
ISSUED BYE
~ ~ Permit Fee Paid $ 3-~• ~ ~ Park Dedication
~~~ Dates ~~ ~~ Final/O.P.
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
ADDRESS
Sq. Ft
DATE
TELEPHONE k