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HomeMy WebLinkAbout1986-Electric (service change) CITY OF OSHKOSH No 01627 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZO NING FLOOD PLAIN HEIGHT ADDRESS f () / RC Q1. 3 DESIGNER PLAN NO. OWNER USE /NATURE OF WORK ..461.WLU Cie? 30 --• /0 O 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 1J - e-LA- E Electric Serv. New ❑ Change 0 Temp ❑ Type 3 Volts 4'o Amps /Go Fixtures Switches Receptacles 1 Circuits `" V 1 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 $ 66 Go Permit Fee Paid $ 3-4 CO Park Dedication $ ISSUED BY Date/' l.9 - O Final /O.P. M --/ —$‘, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE l AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO. 6 6 . 76 2 7 APPL. DATE / - 0 -�� ELEC. CONTR. / OWNER /z ADDRESS 7e 7-- 0..t NATURE OF WORK ELEC. SERV. NEW / CHANG TEMP. DESC. TYPE .,Z e94 VOLTS .© i AMP 0;4 FIX'S SW'S RECEPT' /Pc CIRC'S=V APPLIANCES / SIGNS ("ae e INSP. ROUGHIN SERVICF ( /j b FINAL✓0 -6' EST. COST / ®o PERMIT FEE3.S -ATE PD / ii-3.6 REMARKS