HomeMy WebLinkAbout0006651-Electric (service change) CITY OF OSHKOSH N° 06651
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [Z ' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7f7::".
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i'�� < %ll.J2 PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK -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
ZL----7, ee.•.*0
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change [ 'hemp ❑ Type Volts Amps / `�
Fixtures L- Switches (--- Receptacles " c
Circwts L.. O 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 $ l v 490 permit Fee Paid $ ✓ Q Park Dedication $
ISSUED BY
____„,t1SQ7
Date /-27.7--..,- 'S7 Final /O.P. / "070 -S 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
GNATURE
5:4:----°(2 L Z
R
DATE
ADDRESS
TELEPHONE #
PERMIT NO. ee 4 4 2 . APPL . DATE Z7' _ , - 8 - 7
ELEC. CONTR. -0, , /
OWNER ../1 ../ '
ADDRESS 7 - ,
NATURE OF .71-- v
ELEC. SERV. NEW CHANGE ,X TEMP.
DESC. TYPE2 - 3 o 1 -4 - VOLTS 1 1 %- d AMPS / G t'
FIX' S O it/ ',� RECEPT CIRC' S
APPLIANCES \
SIGNS Cji\::(19--
NSP. • • UGH _ b . -//`, , - g _ RV e '1-' .7 FINS - t o
EST. COST / r PERMIT FEE 51 - DATE PD11 -
jtEMARKS
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