HomeMy WebLinkAbout0000486-Electric (service change) CITY OF OSHKOSH N2 00486
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC k PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 3 PLAN NO.
OWNER RA-A q
DESIGNER
6_,07,4....1.–
USE /NATURE OF WORKv`el
2-3 3- �D d c,,
2-
Cf-1-1-e-cia 1 1 8 e°
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 7 /i�L�CX C
Electric Serv. New ChangeW Temp Typ Volts A Z (C6 Amps --20 6
Fixtures Switches Receptacles Circuits
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 0 c
FEES: Valuation 76 Permit Fee Paid 3i I Park Dedication
ISSUED BY Date 4/—i6 Final /O.P. `e 11-- 2
In the performance of this work I agree to yi all work pursuant to rules governing the described construction.
SIGNATURE i VII
AGENT /OWNER DATE
ADDRESS
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