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HomeMy WebLinkAbout1991-Electric (service change) CITY OF OSHKOSH N° 23781 n PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - " - - - - - - - - - - - - - - - - - - - - ' ADDRESS � ��` 'Y � �� / 4`�'� PLAN NO. i OWNER �����" I�'G�"1"�' DESIGNER USE/NATURE OF WORK��ti����- SG �� l S� /L� G�-w�-i'�(A�/� '�`-�� (J BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S GI F(`TRI(` (`QNTRA('TnR �C� '��'� Electric Serv. New ❑ Change �Temp ❑ Type �u' Volts���U Amps �a ���s�� Fixtures Switches Receptacles Circuits f �'' \, 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 $ ��" �?� Permit Fee Paid $ /S`� Park Dedication $ ISSUED BY Date � �/� —` / Final/0.P. 'i� �- `�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ,�� �Js� r=� � -�� - % l SIGNATURE �� � � onre AGENTiOWNER ADDRESS TELEPNONE#