HomeMy WebLinkAbout0000906-Electric (service change)CITY OF OSHKOSH No 00906
` PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECXPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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S
ADDRESS _ _PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft
Foundation
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
# Rooms # Stories
Class of Const.
Heat Loss
Height _
Occupancy Permit
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change Temp ❑ Type h' Volt jA psi
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: Valuation $ �-- Permit Fee Paid $J Park Dedication $
p Q
ISSUED BY Date 11` � �— Final /O.P. 7 ' s'° "rte
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #