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HomeMy WebLinkAbout0031980-Electric (service change) s /� CITY OF OSHKOSH N° 31980 � `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� / ����G�� S � PLAN NO. � OWNER T�� ��W 2v' � DESIGNER USE/NATURE OF WORK u� -L'�' ,3 - � 0 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. � t` � �� C ��}✓' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts �� Amps l�p 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 C}' P FEES: Valuation $_/ �� Permit Fee Paid $ �� � Park Dedication $ ISSUED BY Date,/� "'{� ��_ Final/O.P. �� " � � �I �- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � l-� � �Z A NT/OWNER DATE � ADDRESS TELEPHONE# ,