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HomeMy WebLinkAbout0019478-Electric (service change) /'� CITY OF OSHKOSH N° 19478 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS �6/y '` — PLAN NO. OWNER w DESIGN : USE/NATURE OF WORK �' —� f,� �Z`�: 3 —/ oc BUILDING CON�"RACTOR : 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 emp ❑ Type 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 $ O � Permit Fee Paid $ � � '� Park Dedication $ ISSUED BY Date � �/O �� Final/O.P. � '��L<� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��� T/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. ,� �/ � � � APPL DATE � �� `l�Z� ELEC. CONTR. - OWNER �i"n s/� ��/ ADDRESS ��,�� -- � '«���' — NATUI2E OF WORK __ ELE�. SERV. NEW CHANGE TEMP. DESC. TYPE -!00 -�� VOLTS j 3-�o A1�S av FIX' S SW' S RECEPT' �C CIRC' S APPLSANCES y° - � SIGNS `� �` � INSP. ROUGHIN SERVI CE -7"�� " F INAL'�'� EST COST ? �c .� PERMIT FEE 3 s�.'/DATE PDy/Y-�/C REMARKS