HomeMy WebLinkAbout0003723-Electric (service change) CITY OF OSHKOSH N2 03723
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG aiKEC ILBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /93y , n e/ ek, PLAN NO.
OWNER /galii (> /1 i m ,
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 ❑ Type g NJ 42 -Volts 420SoAmps /40
Fixtures Switches Lam" 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: Valuation $ ('.G OG Permit Fee Paid $ 3 sac' Park Dedication $
ISSUED BY Date S` I v G Final /O.P. / , ? — 2'2
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 #
F
A PPL DATE A/ � �.�-
PERMIT:' NO. ..-/-' /
ELEC. CONTR. / I 4_ ,
Air
OWNER .
ADDRESS
NATURE OF WORK
CH ` � •'.
ELEC. SERV. NEW z ,,,e, AMPS O
DESC. TYPE - b # -P-� - t-c ' VOLTS ! • CIRC' S
FIX'S RECEP
APPLIANCES ;�
1/ ?/
SIGNS SERVICE d' f-4-234 FINAL -! - $ 7
I
EX . ROUGHIN a .� ` PERMIT FEE DATE PD 13t
EX COS
REMARKS
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