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1988-Electric (furnace & a/c)
CITY OF OSHKOSH N° 10828 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC [�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � Z �-1 1 L- h r "t--�`- � -r' PLAN NO. OWNER �� ... � �� ✓� I �. I , DESIGNER USE/NATURE OF WORK z� 'T`�' z'�`+� - ��-"��- A � L'— BUILDING CONTRACTOR � Size Sq. Ft. # Rooms # Staries Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Neat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR C ��-O �r� L I e r -I-i1i� . Electric Serv. New ❑ Change ❑ Temp ❑ 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 $ '��" �/ Permit Fee Paid $� � C—� Park Dedication $—� ISSUED BY �%�� ��// -��� Date ��� � � � Final/O.P. ���— � �� In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE c--= `v�������"a`?�v. /c>� 7 � YY AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO. / �� C� APPL. DATE ��� f� 'Y � ELEC. CONTR. ,r-ty� �� y<-�� OWNER � ADDRESS � � ��-� t� � NATURE OF WORK ELEC. SERV. NEW CHANGE TEMP DESC. TYPE VOLTS AMPS FIX'S SW' S RECEPT' S CIRC' S � APPLIANCES SIGNS INSP. ROUGHIiV SERVICE r^INAL EST_ COST ,Z OG �— YERMIT FEE/z— DATE PD s -7-LL� kEMARKS