HomeMy WebLinkAbout0017907-Electric (service change) CITY OF OSHKOSH N° 17907
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ( BG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ` ,2) 6 Pc CO t VT PLAN NO.
OWNER,14- d614/41 1 1.) 6 //
DESIGNER
USE /NATURE OF WORK It It 1 E'- .-S -e v- viz --e_ .
� ,0 _ I/o
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. AI I" / t° C / v i L COp-,
Electric Serv. New ❑ Change -Temp ❑ Type / le Volts / Amps / 4263
Fixtures Switches Receptacles r/- Circuits e-------
I X - - ) l
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 $ '� _ Permit Fee Paid $ fd /�q Park Dedication $
ISSUED BY /i/e-� / �, .�%� Date / —/( ----,; `7/ `��
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE _ I L '1 s .�[,.Qti_ 4-1/-90
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. G ?� . APP . DATE ` 4 i ~7
ELEC. CONTR. �
/
OWNER i .rr UV"
ADDRESS / 2 6 _ ■ f
NATURE OF WORK
ELEC. SERV. NEW CHANGE ' _ TEMP.
DESC. TYPE 3 ' U . 3 -" VOLTS / jy' �€- AMPS /'' 0
FIX'S SW ' S RECEPT'S 0( CIRC'S O!i
APPLIANCES '.1
SIGNS r t
INSP . ROUGHIN ` SERVICES 3 � 7 FINAL '1 -1 / 98
C
EST. COST Js'6' e ° PERMIT FEE S O°%- DATE PD. 4/-70
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