HomeMy WebLinkAbout0018449-Electric (service change) 4.) _CITY OF OSHKOSH N°_ 18449
PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS riCY/14Ce _ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK_
3
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 ar . 1, „s ,r,L0- Electric Serv. New ❑ Change mp ❑ Type 011 Volts XVS Amps %V C/
/ 0
Fixtures Switches Receptacles Circuits
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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
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FEES: Valuation $ [ / t Permit Fee Paid $ e9 .----ir Park Dedication $
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ISSUED BY . Date 5 L9e2_ Final /O.P. Cp ' 7 ' 9 6
In the performance of th' work I a ree t . -rform all work pursuant to rules governing the described construction.
SIGNATURE j
AGENT /. • DATE
ADDRESS
TELEPHONE #
PERMIT NO. G' _ ( / ' , APPL. DATE `Z i9
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ELEC. CONTR. Cpl.' -,
OWNER ov G
ADDRESS / k 21
NATURE OF WORK
ERV. NEW CH. GE 6: TEMP.
o % -w_ VOLTS .t o f U AMPS O i
F X'S / SW'S RECEPT'S /* CIRC'S
APPLIANCES U
SIGNS ( z ) INSP. ROUGHIN SERVIC L ` 7 e ' F INAL d ` k,,91}
EST. COST 4-,l Q &. - PERMIT FEE 0 v DATE PD. 5 —/5
REMARKS
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