HomeMy WebLinkAbout0002529-Electric (service change) CITY OF OSHKOSH N o 02529
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC r..PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - 9 liL //�1��1�� PLAN NO.
OWNER (5 6, /C(, V-5
DESIGNER
USE /NATURE OF WORK 1T 99 4.16 �.,/r ." C t
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 Z..42 Z C
tw/ Electric Serv. New ❑ Change IS Temp ❑ Type 3 w Volts � YD Amps/ CZ>
Fixtures Switches Receptacles Circuits � i�C
P
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
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�= �QJ
FEES: Valuation Permit Fee Paid $ Park Dedication $
ISSUED BY ' i;/ % Date /— 7 .----. 7 7 Final /O.P. /1 -- S r1
V
In the performance of this work I agree to pert all work pursuant to rules governing the described construction.
C
SIGNATURE 7 3 F7
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 2 5 ' P DATE /7 - O
ELEC. CONTR. g - 1101Prdf..
OWNER.
ADDRESS ®, kit.J 67-1`e • /
NATURE OF WORK
CHANGE TEMP .
ELEC. SERE. NEW
V VOLTSI s c d AMPS /CG
DESC. TYPE 3 ) 3 — X C
FIX'S SW'S RECE 'S CIRC'S
APPLIANCES
( V (J;
SIGNS SERVICE /A 'S; FIN
INSP EST. COST Aye D - E . O PERMIT FEE e DATE PD. f �7 Z7
EST.
REMARKS