HomeMy WebLinkAbout0029755-Electric (service change) CITY OF OSHKOSH N2 29755
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC N PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 r► 14 -4.4. ' / PLAN NO.
OWNER 0 . `!) i I V1e ii ' 1 E , � •
•
DESIGNER
USE /NATURE OF WORK ChaftAlA cS - l I I ( a .7-3O j S /0 0
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 `S / Gf -- Z ,
Electric Serv. New ❑ Changer Temp ❑ Type,___ Volts Q Amps .L—
Fixtures Switches Rece p t acles ..--\ P „Sc Circ uits
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 $ I 0 . O I
,� Permit Fee Paid $ 3C- 0 Park Dedication $
ISSUED BY ° 1/Ll 0 /��L Date 2- /7 — 7- 2 --
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / Z f
_2 c,_
DATE
ADDRESS
TELEPHONE #
7 5 . APPL. TE 7 / t-
PERMIT NO.�
� � � �� ''''4
ELEC. CONTR. , / /
OWNER Clie/7 " � 7,1-e/L
ADDRESS
/i / —
NATURE OF WORK
ELEC. SERV. NEW CHANGE P1
DESC. TYPE )-)g i i i 344/VOLTS /)-- 5 -'' e v 'S J C
FIX'S SW'S RECEPT'$ .0 CIRC SV
APPLIANCES V
SIGNS LCd)
INSP. ROUGHIN S ERVI CEW ' Lys' INAL
AST. COST ?poi PERMIT FEE 752-% DATE PD.7'i7
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