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HomeMy WebLinkAbout0018568-Electric (service change) CITY OF OSHKOSH N2 18568 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC 1-4LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS rv 77. PLAN NO. I OWNER ,• i _� DESIGNER USE /NATURE OF WORK ( —tlt -�J� c"----7P-- ,_,- e ,,P--), i a 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 __,, -,,„-?..-' Electric Serv. New ❑ Change ❑ Temp ❑ Type_ Volts/Amps s' o C5 Fixtures Switches Receptacles Circuits 1 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 l .©a ' a c FEES: Valuation $ Permit Fee Paid $ -2 .' ' m_1/ Park Dedication $ ISSUED BY ✓J7./,--1, Date ) ` �.7 4 Final /O.P. S` ZZ e In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7-4 ....0 C' AG ADDRESS TELEPHONE # PERMIT NO. ` J 81 . APPL. DATE ELEC. CONTR. = ^G'Z OWNER � ,'t a'" 4 ADDRESS 9 . l / NATURE OF WORK ELEC. SERV. NEW CHANGE a< TEMP. PESC. TYPE 2- 3 0 3 't- - AMPS i'© FIX'S SW'S RECEPT'S CIRC'S APPLIANCES � V / SIGNS < i (��` INSP. ROUGHIN SERVICE f( `& FINAL 5 - EST. COST .5 oa PERMIT FEE? o <=- DATE PD .S- ) gI' REMARKS