HomeMy WebLinkAbout0037310-Electric (service change) CITY OF OSHKOSH N° 37310
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC, PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 4L0 L() 7t d-fit' PLAN NO.
OWNER l/t-stie..-
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 _1#4.70(
Electric Serv. New Change $1 Temp Type _LL— Volts 3C Amps 0 J
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation /3 Permit Fee Paid S a� Park Dedication
ISSUED BY (L .Lt rrzr-T-- Date 3 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE d2A
AGENT/* R
i DATE
ADDRESS
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