HomeMy WebLinkAbout0022007-Electric (service change) CITY OF OSHKOSH N° 22007
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC K PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS_____________ 3 l 5 ,-- v�- �., //l PLAN NO.
OWNER ain.tr .J(
DESIGNER
USE /NATURE OF WORK s- Cites y . 7:7
3-!e0
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 kt.), it -e /� yt
Electric Serv. New ❑ Change ❑ Temp ❑ Type 3u) Volts J1 y, Amps /
c oO______
Fixtures Switches `/ Receptacles Circuits
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
1 Dc
FEES: Valuatio '. 40' l� Permit Fee Paid $ — � Park Dedication $
ISSUED BY 1i/: L�! --_ G► Q �/ Date j / d Final /O. P. ?' 3 , - pe
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l ��k� �� . ' / 3�
G ENT/ R
/ DAT
ADDRESS
TELEPHONE #
PERMIT NO. 20 . APP DATE —2---1---Ye,
. ; 4e 50 ----
ELEC. CONTR. W
OWNER '
ADDRESS 3 •t!5 _ ��
NATURE OF WORK
ELEC. SERV. NEW CHANG TEMP.
DESC. TYPE] — l (/ 3 — k- VOLTS 4-'f4 AMPS /0 0
FIX'S SW'S RECEP S J OS CIRC'S Gt'
APPLIANCES V
SIGNS t �;
INSP. P. ROUGHIN SERVICDJ / /"7 b - qO FINAIj3f`�
EST. COST 350 °-- PERMIT FEE AO`'� DATE PD.B ' Y
REMARKS
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