HomeMy WebLinkAbout0043988-Electric (service change) CITY OF OSHKOSH N ° - 43988
PERMIT -� APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC
)14 PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /
(/ 1 �
PLAN NO.
OWNER 'a 14.44-4-r-1,
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
Electric Serv. New ❑ Change %Temp ❑ T e
yp /T Volts -3 C Amps �v
Fixtures Switches Receptacles Circuits
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
FEES: Valuatio $ ' ' °" _ Permit Fee Paid $ Sn • o 0 //4- Park Dedication $
ISSUED BY __. ( .�v7Er-' Date 3 A/ 9, r Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #