The URL can be used to link to this page

Home My WebLink About0040184-Electric (service change) 3 IT H KO H N° � 84 � � C Y OF OS S ` `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT �: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS � O v � ,�fC�[ PLAN NO. � OWNER DESIGNER USE/NATURE OF WORK BUILDING CON7RACTOR 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 �� /. ' o Electric Serv. New ❑ Change� Temp ❑ Type� Volts3 � 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 $��•a'� Permit Fee Paid $ � "` �`'' Park Dedication $ ISSUED BY �z*� �� .�t�✓ Date 2 Final/O.P. � In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. � SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE I i: ./�� %��C �3� PERMIT NO. D . APPL. I7ATE ELEC. CONTR. 7/.L[�(/ OWNER ' �!/ � ��DDRESS �-�O �'-1 �/�,/��.a�.�-o�-� � NATURE OF WORK EC. SERV. NEW TEMP. D C. TYPE � VOLTS 3 A1�S FIX' S SW'S RECEPT' S CIRC'S APPLIANCES SIGNS INSP. ROUGH N S ERVI CE S'� 6 4 F IN EST. COST S`�o =� PERMIT FEE 20 •v� DATE PD. �L� �f REMARKS / 3_ a ._ 3 --/o�