Loading...
HomeMy WebLinkAbout0019689-Electric (service change) CITY OF OSHKOSH N2 19689 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC IA PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 7 /f ' *A "s7 7 5174:- PLAN NO. OWNER i7 / XI o / di DESIGNER USE /NATURE OF WORK 4 /Od Je ' - - i r - 3 0.,- 3 - m 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 A-7 /C4J C Electric Serv. New ❑ Change - Temp ❑ Type / Volt W + Amps C° Fixtures Switches Receptacles / Circuits A- ) II t 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 © o c r FEES: Valuatio $ o - Permit Fee Paid $ D Park Dedication $ 111 -7 � 3 -mo d s� Date Final /O.P. 4 - LG ISSUED BY In the performance of this work I agree erform all work pursuant to rules governing the described construction. SIGNATURE 11111P" /' _ ".''& / �� _ 7— f/-7g AGENT /OWNER DATE ADDRESS TELEPHONE # PE O. . _ ELEC. CONTR. / s OWN R ADDRESS l �/ 9 + NATURE OF WORK ELEC. SERV. NEW CHAN TEMP. *4 E - . ► VO :1311'. - '['C At4P 1 - 0 FIX'S SW'S RECE- 'S CIRC'S APPLIANCES t/ . ROU - N ER 'd. `'I41`f EST. COST O " " PERMIT FEE 24e - DATE PD 3Jt��D REMARKS