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HomeMy WebLinkAbout0000121-Electric (service change) � CITY OF OSHKOSH No 00121 `' PERMIT — APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS `� � PLAN NO. OWNER � �/1'7 / DESIGNER USE/NATURE OF WORK � � — � �_2 ��� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEAjING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S . ELECTRIC CONTRACTOR Electric Serv. New ❑ Change,�Temp ❑ Type �-� Volts !� �Amps� � � ������ 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 d FEES: Valuation $ ��Permit Fee Paid $ � Park Dedication $ ISSUED BY Date �"—l�o� FinaVO.P. � ��.� g� In the performance of this work I agree to perform all wor pursuant to rules governing the described construction. SIGNATURE � AG OWNER DATE � ADDRESS TELEPHONE# PERMIT NO. � C� ( � � APPL. DATE S� � 7 - g� r � � � ELEC. CONTR. 'JL/ �'������` . � , � /' � OWNER C--�'t �l�/ ' ADDRESS � S — � NATURE OF WORK -- � — ELEC. SERV. NEW CHANG TEMP. DESC. TYPE 3--1�0- � � VOLTS 1 ��' � �'o AMPS l�° FIX'S SW' S RECEPT' S CIRC' S APPLIANCES SIGNS INSP. ROUGHIN SERVICE - -id`� (o r INA -���6(c ' EST. COST d l PERMIT FE� �._�BATE PD -��86 kEMARKS � � �� - � � - �