HomeMy WebLinkAbout0013702-Electric (service change) CITY OF OSHKOSH No 13702
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG El ELECA PLBG ❑ SIGN p ZONING FLOOD PLAIN HEIGHT
ADDRESS q 1 62y--t-t,_e_,__-,, NO.
OWNER -e C K`") 4 7 1 '91
DESIGNER
USE /NATURE OF WORK — l d 2 - (0 0
_—
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent El Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR v V G E R tz-- k t= C
Electric Serv. A New ❑ ChangTemp ❑ Typek, Volts ! x-- ° Amps lamer
Fixtures Switches receptacles 6 -- ------ ----Circuits Z 1110
rr
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
c2.7.3______.---- 6 C.
FEES: Valuation $ 0 Permit Fee Paid $ � --"--- Park Dedication $
ISSUED BY .- /27.. Date _ CO — 9 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e/CLA—Je/t, 6/7/1? 9
AG / OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. / > 7o' , APPL . DATE tF7
ELEC. CONTR. CetZ--/
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OWNER
ADDRESS
NATURE OF WORK
ELEC. SERV. NEW CRANE TEMP
DESC. T77PE 3- ce _- J VOLTS / f 'f AMPS /G
APPLIANCES SW' S `— _ RECEPT - S� ' CIRC' S ( /
SI GNS c )
N - . ROU R N Q r • ERVI : - fi'1 FIN ' -
EST. COST 7 / 9 e PERMIT FEE s d " - DATE D -
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