HomeMy WebLinkAbout0007838-Electric (service change) CITY OF OSHKOSH N2 07838
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 8_33 I vll (I € S O 4 a s-f, , PLAN NO.
OWNER -3 v11Q 5 /05±
DESIGNER
USE /NATURE OF WORK a ha Q € u i C p 3-60 + . 0 ?- 10 D
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 Ua( El ec. - f►r; c
Electric Serv. New ❑ Change X Temp ❑ Type W Volts . t_�ps O b
Fixtures Switches Receptacles p Circuits /
1
PLUMBING CONTRACTOR
- BT — WH _ Disp _ WSoft
CBasin
— Lav _Sh _DW DF
San. Sewer
_WC FDr __SP U
Storm Sewer
Sink _ LTub Eject SS
Water
Other
FEES: Valuation $ / �'c�—
Permit Fee Paid $� Q Park Dedication $
ISSUED BY / 1/1.1 41 W - - Date "!( _'" Final /O. P. // - 2 Y -88
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE - -<--14..
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AGENT /OWNER /a � $
DATE
ADDRESS
TELEPHONE #
PERMIT NO. O 7 r3<ppL. DATE —2 7-
ELEC. CONTR. V.G� /�
OWNER
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ADDRESS /8 9
NATURE OF WORK
ELEC. SERV. NEW CHANGE '' TEMP.
DESC. TYPE ) - (& D 3 —''-- VOLTS / ,-"/.� W v AMPS/" °
FIX'S SW'S RECEPT'u <- CIRC'
APPLIANCES
SIGNS it-eZ _,)
INSP. ROUGHIN _ SERVICEd - Y : ,7-- FTFINAL4''2 f4
EST. COST PERMIT FE -- DATE PD :286^
REMARKS 'IDd .3-Dl
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