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HomeMy WebLinkAbout0040570-Electric (service change) 4.3 CITY OF OSHKOSH N ° - 40570 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC) PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /9/ 7 PLAN NO. OWNER i I t cife &-.- 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 Temp ❑ Type © /A( Volts3 Amps/61'7) 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 ^ 0 0 Permit Fee Paid $ 3 SY—eO Park Dedication $ ISSUED BY 44,,e t Date 7 v 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. 0 S - 7 a . APPL . DATE 6 /2-7A 6 ELEC. CONTR. �iLL OWNER klit4 ms s. I ` ADDRESS / 9/ 7 NATURE OF WORK ELEC. SERV. NEW ANGEL , 0 TEMP . DESC. TYPE o / %l � 'IS 3 Lc, AMPS /o FIX'S SW'S RECEPT'S CIRC'S APPLIANCES SIGNS INSP. ROUGHIN SERVICE 6 /3 1 FINAL /®A/C EST. COST roo • o o PERMIT FEE ?o. DATE PD. 7/2th6/ REMARKS