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HomeMy WebLinkAbout0009363-Electric (service change) CITY OF OSHKOSH No 09363 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC IK PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS Kl a,."Z ....„ C/ PLAN NO. OWNER 20'4/ DESIGNER �J USE /NATURE OF WORK 4 ^ 7 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 Li ./ - ��2 j Electric Serv. New ❑ Change IN Temp ❑ Type Volt ©a ' Amps /00 Fixtures Switches Receptacles .3 Circuits 74) f 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 Y -.) -- ✓ FEES: Valuatio n Permit Fee Paid $ �/ Park Dedication $ ISSUED BYG/�'� Date 7 —�� '!J Final /O.P. - - t ) -? In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Y77111-4:0 061 ,2 g ' AGENT /OWNER DATE ADDRESS TELEPHONE # PERMIT NO.6 6 A•PL. DATE 7---/7-- i ELEC. CONTR. OWNER P i 7 ADDRESS /J / - - (P NATURE OF WORK ELEC. SERV. NEW CHANGF' TEMP. DESC. TYPE 3--6 D ? - <=/ VOLTS / - - 4 d AMPS- FIX'S SW'S RECEPTd S CIRC'S 4 APPLIANCES Goa- -v SIGNS INSP. ROUGHIN SERVIC rr 4 .. •-- - A , FINAL7` 2 EST. COST 7 2 5 7 PERMIT FEE - A0 - -= -- DATE PD? - eg REMARKS 5 f s