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HomeMy WebLinkAbout1989-Electric (service change) � _ CITY OF OSHKOSH N° 16180 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� "� u PLAN NO. OWNER � ./1't�.` lt . DESIGNER � USE/NATURE OF WORK - �- �� .� -/�� 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 '�'� - % 0 ' Electric Serv. New �hange ��emp ❑ Type Volts � Amps Fixtures 1"'Switches `- Receptacles — 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 c� FEES: Valuation $ O� '� Permit Fee Paid $ � `5 Park Dedication $ ISSUED BY Date ��`v� �O � Final/O.P. f l �d2 – ��' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��="�� � �" 'C � � c � � AG /O NER DATE ADDRESS TELEPHONE# � _ � � NO. � < �� , APP DATE Q � �^�� � � PERMIT � , � . � � E C. CONTR. � � . /L- (/L� � � OWNER � � ADDRESS � � � � ; NATURE OF WORK � F 3 ERV. NEW CHANGE ' TE�• ' � � TypE � !.� VOLTS 1 C� AA'iPS m � ? FZX'S SW'S _RECEPT' CIRC'S � ` APPLIANCES �`� ; ; � � � � N P. ROUGH N SERVICE - � FINALI - — ' � ; . COST DO P RM T F E ` -�"DATE PD. i�a-� , � K ; , , $ � ; _ I