HomeMy WebLinkAbout0006529-Electric (service change) CITY OF OSHKOSH N2 06529
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 7 d7 Aiao--
PLAN NO.
OWNER --10/2 1 O(,.30-
DESIGNER
USE /NATURE OF WORK _ '/ r .1:t LA _ - - , • _ - /O
Gam!
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
4I•111 a
ELECTRIC CONTRACTOR — liggiar n
�/v
Electric Serv. New ❑ Change ;► Temp ❑ Typey_tZ Volts j.0 ad
Fixtures Switches Receptacles P Circuits
3
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: Valuati. n j '
�, $ Q� P ermit Fee Paid $ r r Park Dedication $
ISSUED B I./`C• -"' - �-i.,,� f�.Z,�-- 7/ --5�{' J
. - Date / Final /O. P. 102 1 8
In the performance of thi wor I agree to perfor work pursuant to rules governing the described construction.
SIGNATURE
PdC / AGEN OWNER \
ADDRESS I DATE
TELEPHONE #
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7...• . DAT ` ' PER IT NO. /
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