HomeMy WebLinkAbout0023041-Electric (service change) CITY OF OSHKOSH N2 23041
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECk'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS l /t1tiy/a 3 PLAN NO.
/
OWNER 0, dO G ( ! h .
DESIGNER
USE /NATURE OF WORK S N C . t a) / 00/11 171 P
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C El Vent El Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR C--ti4 ✓ 6Xec-I Co.
Electric Serv. New ❑ Change) Temp ❑ TypeAdiff Volts 211 Amps /22
Fixtures Switches Receptacles Circuits I
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $50. 150 Permit Fee Paid $ / " M Park Dedication
ISSUED BY ( Date 1 7 1 - - 2 - 2 9! Final /O. P. 1 1 15 ?/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 44-41 V2Z17/ AGENT /OWNER A
ADDRESS
TELEPHONE #
PERMIT NO. if APP . DATE Y-27-77
ELEC. CONTR. /M
OWNER
ADDRESS
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE ' 7-3e) �i 3 — k/ VOLTS l '10 AMPS / OG
FIX'S SW'S RECEPT' CIRC'S Pj'
APPLIANCES V
SIGN
(Ca
NSP. ROUGHIN SERVIC rilit�i`►M EFETNNir
EST. COST 2S PERMIT FEE / DATE PD.
REMARKS