HomeMy WebLinkAbout1987-Electric (service change) CITY OF OSHKOSH N2 06530
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS II - _ _v ► PLAN NO.
OWNER /1 ' O&
DESIGNER
USE /NATURE OF WORK 3 1 ZV [( L Cl? ' -- 7_ 36 let c -/60
O. H‘
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 , " r OU a `_ / 2 1 �.„�_ .
Electric Serv. New ❑ Change lAVTemp ❑ Type r // Volts/ y io 6
Fixtures u es Switches Receptacles Circuits PI )/A ..
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
II FEES: Valuatioo$$ top d Permit Fee Paid $ c() ` Park Dedication $
ISSUED BY Date 12' //- U 7 Final /O.P. g- I L - V
In the performance of work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE MA 1. 1� / Y
AGE T/OWNER �� DATE
ADDRESS
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