HomeMy WebLinkAbout008801 - Electric (change service ) CITY OF OSHKOSH No 08801
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC, PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /5 0... -- //4Oci_ fr�1 vc4r! 1 a PLAN NO.
OWNER gir/i)'NrC-2. £_ o
DESIGNER
USE/NATURE OF WORK ,/i"`b'u Z ;S�- -0 i C(2-- _ 2 — 3 „---__
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 cS C---1---- - z-C 5 GYI`C.
Electric Serv. New ❑ Change XTemp ❑ Type -?&i VoltsD Amps /0L)
Fixtures _ Switches Receptacles A-" Circuits -h'- A:L.____,
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 $_ _ #0, cro Permit Fee Paid $ c (V
0• D " Park Dedication $
ISSUED BY 1 . i. Date 6"--/-5-- ff 7 Final/O.P. (4 /5,-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
4 SIGNATURE I 4 e 6--/s-- es/
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
. APPL.. DATE //
PERMIT NO.
Algr �2�ELEC. CONTR. %�• ?`�a
OWNER
ADDRESS ,
NATURE OF WORK TEMP.
NEW CHANGE ► o AMPS /U
EC. TYPE ,,,, VOLT CIRC' S� C. TYPE U �� RECEPT
FIX' S
APPLIANCES /.10b7
IS-�Z
S ERV I C ve'` -/r te
SIGN BATE PD.INSP. ROUGH N PE' IT FEE
E T. COST
REMARKS `