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HomeMy WebLinkAbout0039161-Electric (service chagne) 3 f CITY OF OSHKOSH N2 39161 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ,'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / ? 3 ■ ♦ ♦ ; PLAN NO. OWNER �t— A / 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 �... c t _ Electric Serv. New ❑ Change Temp ❑ ype o ��► L Volts3 2" Amps ZOO 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: Valuatio $ 6--- a c9 O Permit Fee Paid $ 0241 O Park Dedication $ ISSUED BY 44 ZiA.r, f-y✓ Date S AA ' f 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 # 2p 6 3 SI PERMIT NO. . APPL . DATE Rk ELEC. CONTR. c 6 OWNER ADDRESS /(f/ 3 NATURE OF WORK ERV. NEW ,•1 AN et TEMP . DESC. TYPE • . - /to zse o 3 "I AMPS 20 a nricd FIX'S SW'S RECEPT'S CIRC'S APPLIANCES IGN NSP . ROUGH N SERVICE C © /1� G� EST. COST PERMIT FEE DATE PD. REMARKS