Loading...
HomeMy WebLinkAbout0031234-Electric (service change) CITY OF OSHKOSH N°- 31234 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � `" « � ` "L��' PLAN NO. OWNER ��7� � DESIGNER C � � 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 EL�CTRIC CONTRACTOR Electric Serv. New ❑ Change� Temp ❑ Type� W Vol �� Amps� . � Fixtures Switches 4'� 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 a ?�� FEES: Valuation $ J Permit Fee Paid $ d Park Dedication $ ISSUED BY Date���� —/ -� Final/O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE <���'z�' • 4(� '�`"_ ' _'�`'�/ AGENT/OWNER DATE ADDRESS � TELEPHONE N ? € ; PERMIT NO.��Z� • APP . DATE � E E C. CONTR. � . � -- = OWN � ; L� r � -i ; ADDRESS � �� � � NATURE OF WORK � 3 ERV. NEW �p►N� TE�• � � E -- �� VO S � s � AP�S G � � FIX' • SW'S RECEPT' S CIRC'S � ` APPLIAN S � — s ° IGN ; ¢ N P. ROUGH N ERVICE — — � � FINAL ' � E . COST D�' —� PERM T F i' DAT PD D�Y�92{ � REMARKS ` � E 3