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HomeMy WebLinkAbout0007249-Electric (service change) , � � CITY OF OSHKOSH N° 07249 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�F�LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �- ADDRESS �°2� � �� � PLAN NO. OWNER �` DESIGNER USE/NATURE OF WORK �'"`� ' � " � BUILDING CON7RACTOR 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 ' �20 -t s�o o-zl Electric Serv. New [�Change [�Temp ❑ Type Volts Amps � ' Fixtures Switches Receptacles � Circuits y 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 FEES: Valuation $ d Permit Fee Paid $ �o Park Dedication $ ISSUED BY Date � ` � —�C> Final/O.P. �"� ` ! `� o C� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE ��� � 2'" a � /OWNER DATE ADDRESS TELEPHONE# PERMIT NO. � � � � . APP . D TE � L' �� , ELEC. CO TR. �-� �� OWNER --� �1 ADDRESS � � � � �-° � ���� NATURE OF WORK ! EC. S RV. NEW AN E TE SC T PE "' U - �" VOL S l U AMPS• DO FIX'S RECEP S CIRC'S AP L CES IGNS INSP. ROUGHIN SERV CE<� - FINA ' -� • EST. COST _S'"�O PERMIT FEE�.ZD .�DATE PD�=�- ' REMARKS ,