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HomeMy WebLinkAbout0016696-Electric (service change) � CITY OF OSHKOSH N° 16696 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS c% `-' � � c�'/ ( PLAN NO. . OWNER � � DESIGNER USE/NATURE OF WORK ----� / � � TD --3� ��U � 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 Electric Serv. New ❑ Change � Temp ❑ Type 3 � Volts��6 ��O 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 / � o FEES: Valuation $ �� Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date �O2 ���� �y Final/O.P. / ' ��– gd In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �1 � `� � ENT/ WNER � D E ADDRESS TELEPHONE# � � /,��9� . � � / ' PERMIT NO. . APP . DATE !� ` � � � � � E C. CONTR. � OWNER �/ � � �� � �DxESS � D -� �- NATURE OF WORK — ' ERV. NEW CHANGE TEP'�. — � _ -k/VOLTS s°' � °�d � �v � FZX' SW'S R CEPT' CIRC'S � � � N . ROUGFi N ERVI -/ -L- FIN � "✓/-y E . CO T c> �- P RM T FE �'� DA PD �S, nR�CS - � � �