HomeMy WebLinkAbout0039264-Electric (service change) CITY OF OSHKOSH
No 39264
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC' PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4,z--, PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System
Heat Loss BTU'S
ELECTRIC CONTRACTOR 44,G.LL 4 u4-
Electric Serv. New Change Temp Type d Volts 3__( Amps 2 40
Fixtures Switches Circuits
.P �J -G 1,4- 10 0 4
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation Do 'off Permit Fee Paid 3S ,o0 I Park Dedication
ISSUED BY Date 7c Final /O.P.
In the performance o 's work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE OM
C)
ENT /OWN R
DATE
ADDRESS
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