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HomeMy WebLinkAbout0022897-Electric (service change) � CITY OF OSHKOSH N° 22897 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 03 Z Z%�-� � ADDRESS PLAN NO. OWNER�'`���-- ��.G��✓• DESIGNER . ..�_ USE/NATURE OF WORK � , � 3 - � o ../7`�3 --/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 Electric Serv. New ❑ Change ��emp ❑ Type✓3� Volts`��Amps f � 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 Other O FEES: Valuation $ �� —� Permit Fee Paid $ �-��— Park Dedication $ ISSUED BY Date � `rZ—l,� Final/O.P. -� � ! ��f In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �Z—�/ A NT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. �� c �� . APPL. DATE � �/� ELEC. CONTR. l�'�� OWNER ����-���ZD� �`�'� ADDRESS ` j� 2- ' � ^ ���� NATURE OF WORK EC. SERV. NEW CHANGE TEMP. D C. TYPE -� O � VOLTS °.��o AN�S O� FIX' S SW' S RECEPT' CIRC' S �S APPLIANCES : S I�GNS INSP. ROUGHIN SERVI - - FINAL - - EST. COST l'�� PERMIT FEE DATE PD.�I--l�-q REMARKS � �