HomeMy WebLinkAbout0002320-Electric (service change) CITY OF OSHKOSH NQ 02320
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC A( PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS ,/ 2--0 PLAN NO.
OWNER Fla-i.=1, PJ
DESIGNER
USE /NATURE OF WORK 4 P!
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 : /*War
Electric Serv. New ❑ Change r21 Temp ❑ Typep/ Volts ! 44 Amp /'
Fixtures Switches Receptacles Circuits x
q63 r
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
my _��
FEES: Valuation $ ' 1 r ✓ Permit Fee Paid $ - Par Dedication $
/ Final /O.P. q
ISSUED BY / / /`�� /. ice_ Date A2 7 r---- F - ! f S'6
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ( %r /'!/I/ / L 4. r. i
AGENT /OWNER DAT
ADDRESS
TELEPHONE #
PERMIT NO. .5) 3 e APPL. DATE / v - S:h
a lAr 4,4
ELEC. CONTR.
' (-4 /J , 6 � -
OWNER 7; ' V ^ � '�"� ` '
ADDRESS o�I ,2-a -- < i ¢'` `C_
NATURE OF WORK -- •di ILJAII• 40 .► CI --I
61-1 .1--
ELEC. SERV. NEW CHANG I TEMP.
DESC. TYPE ? -- 41 ‘4. - w VOLTS i � j ra-t AMPS 2 )
FIX'S SW'S RECEPT'S , CIRC'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVI C � E_Q FINAL 9 - ,q 1b
EST. COST 6
O`� PERMIT FEE, i'5 PD,12 ffi,
REMARKS
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