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HomeMy WebLinkAbout0006837-Electric (service change) /� CITY OF OSHKOSH N� 06837 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS � L� � ��'�i�" � PLAN NO. . OWNER � -� DESIGNER USE/NATURE OF WORK ' ��� �.3 �0 a BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height — Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/5ystem Heat Loss BTU'S ' ELECTRIC CONTRACTOR � G � Electric Serv. New ❑ Change�Temp ❑ Type Volts �1 �Am s�� Fixtures Switches Receptacles Circuits� i 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 �/ 0 FEES: Valuation $ `'—� Permit Fee Paid $ �` � Park Dedication $ ISSUED B Date 1 ���`�U FinaVO.P. In the performance of t 's work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 1 f � AGENT/OWNER DAT � i /� / ADDRESS �� L�. (�e-6��e_� C.ve DS�I• �J� ' C/�JI TELEPHONE# (o� �` APPLICATION FOR ELECTRICAL PERMIT Date ��� 3 /� 5/ I�We � � L%(��u�c c,c Electrical Con— tractor, herewith make application for a permit to install the following electrical wires & appa ratus in the premises of���� No._ a �7 Street_./�� . New Service Furnace Change Service i�,e , �v � Electric Sign Temp. Service Motors ' Range Air C�nditioner Water Heater Gas Pumps Garbage Disposal Fixtu res Dishwashers Switches Dryer Recepzacles Fan or Blower Circuits Date Issued Master Electrician Estimated Cost � � . � � y � � 3�"��3 � . APPL DATE Z�Z 3�� � PERMIT NO. � � ELEC CONTR p� � � OWNER �� �C Oi..✓ •P,DDRESS /J �' 7 G!J � � NATURE OF WORK � � EC. SERV. NEW � TE�• D C. TYPE ° �, oo AMPS FIX' S SW'S RECEPT'S CIRC'S APPL ANCES - � � I��S 'L �! INSP. ROUGH N SERVICE FINAL / E T. COST 00 .0� PERM T F'EE '"•o� DATE PD. REMARKS � � �