HomeMy WebLinkAbout1994-Electric (service change) � ��
N° 39058
� _ CITY OF OSHKOSH
PER�MIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG � ELEE� PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGNT
ADDRESS PLAN NO.
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OWNER
DESIGNER
USE/NATURE OF WORK
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 d��` �y
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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
FEES: Valuation $ b 0 O• D O Permit Fee Paid $ 3$'a`� Park Dedication $
ISSUED BY—G�������1,��� Date�����/ Final/O.P.
In the performance of this work I gre t p rm all work pursuant to ru�es governing the described construction.
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SIGNATURE —�r ��
AGENT/OWNER DATE
ADDRESS
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