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HomeMy WebLinkAbout0044516-Electric (service change) �3 � € 4 N°_ 44516 � � CITY OF OSHKOSH : `' PERMIT - APPLICATION AND RECORD ` � TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - x Q / / �' - /'1� � ADDRESS PLAN NO. OWNER f�.�--��r�� � 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 �1�� Electric Serv. New ❑ Change� Temp ❑ Type //r 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 $ 4� • o o Permit Fee Paid $ 31`�.o J Pa�lc Dedication $ ISSUED BY Date r ���r)� FinaUO.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE M �L � PERi�fIT NO. 7 �Jr/� . APPL. DATE � ELEC. CONTR. /���� OWNER � U� � ADDRESS d/7 �- �• �• � NATURE OF WORK F,�EC. SERV. NEW TEMP. DESC. TYPE �l/�i7� VOLTS 3 AMPS /� FIX' S SW'�S RECEPT' S CIRC' S � APPLIANCES � [ � SIGNS ' INSP. ROUGHIN SERVICE FINAL EST. COST � PERMIT FEE �� DATF. pn_ � � REMARKS ' � € � � � �