HomeMy WebLinkAbout1995-Electric (furnace) (�iv
CITY OF OSHKOSH
N� 47229
n PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '
ADDRESS�L�����/�' � PLAN N0.
�
OWNER�, /�'S./L�-c�r+-Ci � �ir�� DA�Y
DESIGNER
USE/NATURE OF WORK
BUILDING CONl'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 ❑ mp ❑ Type Volts Amps
Fixtures ��Switches �Receptacles �� Circuits-�
J�tz�t�-��-C�c._-
PLUMBING CONTRACTOR
_BT —W H —Disp —WSoft —CBasin
_Lav —Sh _DW _DF —San. Sewer
_WC _FDr —SP —Ur —Storm Sewer
—Sink —LTub —Eject —SS —Water
Other
FEES: Valuation $�2-�' v � v v Permit Fee Paid $ S� °� �' Park Dedication $
Q �
ISSUED BY �/� Date � � G Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construdion.
SIGNATURE
AGENTIOWNER �ATE
ADDRESS
TELEPMONE#
,/ >
PERMIT NO Y 72�' �� • APPL. DATE
ELEC. CONTR. �.C�'��
JWNER
;;DDRE55 �- ��
[�ATURE OF WORK
C. SERV. NEFT ��� ��'
D C. TYPE VOLTS �S
FZX' S SW'S RECEPT' S ✓ CIRC'S �
APPLIANCES � -
SI'GNS
INSP. ROUGH N SERVICE FINAL
EST COST /�> J PERMIT FEE�"� DATE PD:� ��
REMARKS