HomeMy WebLinkAbout1991-Electric (service change)_CITY OF OSHKOSH N° 25479
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC~PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / ~ v~ PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~-l Q
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
# Rooms # Stories Height .
Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
BTU'S
ELECTRIC CONTRACTOR _ ~~ ~Z~
Electric Serv. New ^ Change~Temp ^ Type~LW Volts~~ Amps ~~
Fixtures ~/Switches Receptacles ~_ Circuits
PLUMBING CONTRACTOR
-BT WH
- Lav - Sh
- WC - FDr
Sink - LTub
Other
FEES: Valuation $ ~ .~~ U • ~ Permit Fee Paid $ ~~• 4U ~j / Park Dedication $
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 Z ~~~c- _ ~~'~
AGENTIOWNER ~ /
DATE
ADDRESS
TELEPHONE #
- Disp
DW
SP
-Eject
Heat Loss
WSoft
DF
Ur
- SS
CBasin
-San. Sewer_
-Storm Sewer
Water