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HomeMy WebLinkAbout0033799-Electric (service change) 6 CITY OF OSHKOSH N° 33799 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC 6LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / / 7 Q ©p 401 1/-1' , PLAN NO. OWNER b t 1/ S 7 kh 10 DESIGNER USE /NATURE OF WORK 3 -" 7 J2 6,4 2.A-7 7 Pe G6..4 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 / y 27'e L /....,-,‘ Electric Serv. New ❑ Change I Temp ❑ Typei4 Volts/2/4 Amps 2 Fixtures Switches Receptacles 4 Circuits -" , 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 cc,, O� PL FEES: Valuation $ 9,/ Permit Fee Paid $ �4 qq Park Dedication $ ISSUED BY Date 5 ---- ? "/3 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. / q SIGNATURE C/ft-e ' ' /- .. 7f AGENT /OWNER DATE _/ ADDRESS TELEPHONE # PERMIT NO. 3 3 7 ? r PL . DATE ( gC. CONTR. OWNER ADDRESS NA Nal. • WORK $ �� . SERV. NEW CHANGE A TEMP • C.' E -- , o 3 VOL S EiX'S SW'S RECEP S CIRC'S APPLIANCES SIGNS (� INSP. ROUGHIN SERVIC f - i4' -�2 FINAL h' -i 2-9 / EST. COST 9'.5 "au/ PERMIT FEE �D d IDATE REMARKS