HomeMy WebLinkAbout0035953-Electric (service change) N°_ 35953
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS F2— / P61'Z%c, — PLAN NO.
OWNER l/CLr.c.( ,
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 1"--
Electric Serv. New ❑ Change // �� Temp ❑ Type e �� Volts 3 L / ) Amps ( M
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
. �U
FEES: Valuation O v Permit Fee Paid $ Park Dedication $
ISSUED BY Date 97 g9 Final /O.P. � ( 1 - 93-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR
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AGENT/0 ER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 3 5 . APPL . DATE ` - r -.%
ELEC. CONTR. Xr5e/1-4 ' ,
OWNER POLA-ef,/f2C-4-54-E_
ADDRESS �- ( — C'
NATURE OF WORK "221.7
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE 3 VOLTS — /Z%i 1 AMPS / CJ
FIX'S SW'S RECEPT'S - CIRC'S
APPLIANCES L,
SIGNS / -/
INSP . ROUGHIN S ERVI C 0. - }/ - -- FINAL -2 -7
EST. COST PERMIT E D TE PD. ?, 9 3
REMARKS ; w ..
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