The URL can be used to link to this page

Home My WebLink About0020647-Electric (service change) /� CITY OF OSHKOSH N° 20647 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS �Z C�- �• �llG� PLAN NO. OWNER (I �1 n �ZJVU DESIGNER USE/NATURE OF WORK C%��( /�p� , \, - �.,I�O /��rO O-�"- 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 � L�� L , Electric Serv. New�Change ❑ Temp ❑ Typ�� Volt��'/�'U Amps�G� U'�� Fixtures 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 pther � FEES: Valuation $ �- Permit Fee Paid $ � Park Dedication $ ISSUED BY Date `d-� % � Final/O.P./�5 '�� In the performance o th' ork I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � - � A /O NER D TE ADDRESS TELEPHONE# � �� ` y�, �PERMIT NO. � . APPL. DATE Z� � ELEC. CONTR. L � �' � OWNER ��``l�i /it�c-� YJd� ' ADDRESS � � 4 �`� � � �"'� Y NATURE OF WORK LEC. SERV. NEW CHANGE TEMP. D SC. TYPE -w - U VOLTS ! �° �d A1�S !� o FIX' S SW' S 1�( RECEPT' �� CIRC' S ar APPLIANCES - ✓ S I�GNS INSP. ROUGHIN SERVICE - ' � � FINAL `'C- EST. COST L%D � PERMIT FEE U � DATE PD O��S�O REMARKS