HomeMy WebLinkAbout0007234-Electric (service change) CITY OF OSHKOSH N° 07234
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC,PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /73 /--- 9;
/ PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK ,
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 `ter 4 L a l__..,
Electric Serv. New ❑ Changea< Temp ❑ TypW Volt / .."--y" Amps/ d
Fixtures Switches Receptacles k .7. Circuits 40
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
a G
FEES: Valuation $ e permit Fee Paid $ d- ��
yy Park Dedication $
ISSUED BY 4.0 � �
Date DL 7— Final /O.P. 1 2 —_
In the perfor r ance of his work I agr: a to .: orm all w.
/ pursuant to rules governing the described construction.
SIGNATURE el � .4 A fii.d ,� ' i ..2_- ?.--7k
AGENT /OWNER / 1- DATE
ADDRESS 7 7 ?7/.44
TELEPHONE #
� / AP P L. D'E0 `2 - ��
HERMIT �i0. '
ELEC. CONTR. '� ./
OWNER
ADDRESS
/3/ r
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP . (--1
FIX' TYPE 7 - (o 4 — S- 4./ R VOLTS / e' AM PC 3
FIX S
APPLIANCES V
SIGNS VICE 'a "2q' F
INSP. ROUGHIN SERVICE
EST. COST ,S-dO ----- PERMIT FEES 6 ATE Pp2 -2
REMARKS
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