HomeMy WebLinkAbout0035947- Electric (furnace) N2 35947
CITY OF_ OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC X PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 0 a I )7 ,
4'1---/// PLAN NO.
OWNER )77 . .01t
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR X-'-./-
Electric Serv. New ❑ Change XTemp ❑ Type* Volts 360 Amps/O
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
•
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
/ /
cT,�
FEES: Valuation $ �-'0 • 0 0 Permit Fee Paid $ 7 o . 0 0 Park Dedication $
ISSUED BY , "3'•� Date !f�//9'3 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
\ \ •••, 1 lik
SIGNATU:E V t .II. I•LfIA14►_4 C` \LA+ k�
GENT/OWNER DATE
ADDRESS
TELEPHONE#
51 - O(o (- �
P' RMI NO. 3 /t/ .:PL. DATE r'
ELEC. CONTR. /
OWNER
ADDRESS `c�T
NATURE OF WORK
ELEC. SERV. NEW CHANG TEMP.
DESC. TYPE 3 - 4 7 ) 2 34/VOLTS cep AMPS ��a
FIX' S SW' S RECEP S C CIRC' S,�'
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE blllq FINALY#
EST. COST PERMIT FEE DATE PD. f� 13
REMARKS
H TO / DAT // TI7.'0S.
F 'l . AR CODE NUMBER
0 r i
W 1 O /
I / •
/// . •/ /- EXTENSION
Wi
Ill
Ocn - 404_,...an
›. 0 ' Ad !�'lS.ev14 ai h 'i l
mJ3 . __Rohr -� ��
win carrka e
a L/�2IL �iej,
O'l hrvn - h,5orkii
URGENT! I I CETURNED I 1 BACK d:,..,� NAS I 1
J I
AMPAD NO.23-1 76-400 SETS NO.23-376-200 SETS