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HomeMy WebLinkAbout0036947-Electric (service change) �3� : � CITY OF OSHKOSH N° 36947 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC� PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS d � , PLAN NO. OWNER 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_��� ����'�� 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 $ -5 �U , O U Permit Fee Paid $ � '� � Park Dedication $ ISSUED BY ' Date ���i6�93 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' �` �� �6 / L / � AGENT/OWNER DATE � ADDRESS C O Y � � ` (l�✓�l � � `� 2,Fi ���� ' TELEPHONE#� ���� �d /��- ei. .�u �� ' ti f PERMIT NO. 3�Y7 . APPL. DATE �° ��� �� 3 ELEC CONTR Y���� Z��� OWNER �,��'y�-A",� ��h� _ADDRESS ,�0 /7 ������`� - NATURE OF WORK �� E EC. SERV. NEW TEMP. DESC. TYPE — �' � !� VOLTS 3 � AMPS o v FIX' S SW' S RECEPT' S CIRC'S APPLIANCES SIGNS INSP. ROUGH SERVICE �'C /�4� F INAL o EST. COST PERMIT FEE Z�► • a� DATE PD. / REMARKS I I � � � � I � � I � j � � I