HomeMy WebLinkAbout026708 - Electric (change amp) CITY OF OSHKOSH N° 26708
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / �/ X7.2 1'<i-1-7-7 PLAN NO.
OWNER V i
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DESIGNER /'�
USE/NATURE OF WORK 3 (y v i7
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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 /c,i" (--
Electric Serv. New ❑ Change [ - emp ❑ Type v f/ Volts "--x-A Amp /0 V
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Fixtures Switches Receptacles— ._ Circuits. _
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
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FEES: Valuation $_ Permit Fee Paid $ c�GT Park Dedication $ Q
ISSUED BY /,/ ►'��"..�`' Date 4��/ ` </ Final/O.P. /02 `/9 �l
In the performance of this w k I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE „/ ✓
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AGENT/OWN / ' :DATE
ADDRESS
TELEPHONE#
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OWNER
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ADDR! S
NATURE OF WORK , /
EC. SERV.
D C. TYPE p r CHANGE ;■
TEMP.
F IX S SW'S VOLTS lid
APPL ANCES RECEPT' / AMPS 40 #■
1, CIRC'g
SIGNS
SP.. ROUGHIN ��r�,�
EST. COST m o - SERVIC �R" ��
REMARKS PERMIT FEE -Zp
DATE PD. __i-_./