HomeMy WebLinkAbout0000943-Electric (service change) 4111.) CITY OF OSHKOSH N o 00943
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC, PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Ye 6 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 4/5 G A`1 C
Electric Serv. New Change, Temp Type Volt 14 Amps
d
Fixtures Switches Receptacles Circuits
1 0,
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 el
FEES: Valuation $�6 Permit Fee Paid Park Dedication
ISSUED BY G/�i��Yf1)- �Z,Cr-�.Gi Date Final /O.P. a /1 g
In the performance of this work I agree -rform all work pursuant to rules governing the described construction.
SIGNATURE
AGE '''WNER DATE
ADDRESS
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