HomeMy WebLinkAbout0040947-Electric (service change) 3
CITY OF OSHKOSH N9 40947
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECX PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT • I _ L cal/ 3hc
ADDRESS %- �� J / 7 �G�1�-
PLAN NO.
OWNER
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 P Temp ❑ Type 6 V00 Gc> Amps ___
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
FEES: Valuation $ / •0 0 Permit Fee Paid $ 5- " Park Dedication $
ISSUED BY 727
Date IrF/0 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 #
PERMIT NO. «D ? '7 . APPL . DATE C P A/ y
ELEC. CONTR. C-491,14/24
OWNER ;C,a�, -/ / (/ 7
NATURE OF WORK
EXE SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL/f/��
EST. COST f 0 0 O , o o PERMIT FEE S o . -1 DATE PD. Wsy743t
R / 3 9� % '( Ce,a441 cJ ' tin. a _ _,. _ ,"' ice