HomeMy WebLinkAbout0022008-Electric (service change) 46) CITY OF OSHKOSH N° 22008
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC KPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS l A PLAN NO.
OWNER PC
DESIGNER /�
USE /NATURE OF WORK 7L_ __ l , +�
a 442.e /f --4,
3 e i lir 111"A7 ,
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 /'O / 2- /....L " /e' c_ s e...._
Electric Serv. New ❑ ChangetS, Temp ❑ Type Volts fi' 470 Amps 4: 9P Fixtures Switches Receptacles Circuits i
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
,v a� a,v
FEES: Valuation $ _ Ow' Permit Fee Paid $ 6/a" /� Park Dedication $
ISSUED BY %-k Date � ' � �w Final /O.P. ���7 " are
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE '] i/ 6
NT NER / ATE
ADDRESS
TELEPHONE #
PERMIT NO. 0 n . AP PL . DATE ♦ // - , Z
ELEC. CONTR. W 7:(
OWNER 1
I ,
ADDRESS 5 ` `�' !�
NATURE OF WORK
X --� _ / ,��� i " l.`
ELEC. SERV. NEW CHANG .�-, TEMP•
DESC. TYPE 3.-ITO ? ? -'v VOLTS ,---►. AMPS .2D 0
FIX'S SW S RECEPT S CIRC S
APPLIANCES V
SIGNS (
INSP. ROUGHIN o SERVICE �Y -1(4? FINAL` -/3-Y0
EST. COST /.2. !D ° � ' PERMIT FEE D DATE PDS f /40
REMARKS
-)
1