HomeMy WebLinkAbout0043542-Electric (furnace; a/c)
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N~ - 43542
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
if Rooms
if Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~
-Eo A--'-. i-~
Electric Servo
'"
Fixtures
New 0 Change 0 Temp 0
Type - Volts - Amps -
Sw~ches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_WC
_Sh
_FDr
_Disp _WSoft - CBasin
_DW _DF - San. Sewer
_SP _Ur - Storm Sewer
- Eject _SS _Water
_Sink
Other
_LTub
FEES: Valuation $ I <{'If. '7 .!.~ Permit Fee Paid $
ISSUED BY 7I~.d<./~~ Date
/
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1//9/9:"'--
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE.
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PERMIT NO. Y3 r~
ELEC. CONTR. R~
)f~
. APPL. DATE
OWNER
ADDRESS ?--3 (. ¿,ù I c,/¿z:;-
NATURE OF WORK 19-AAA- ;t ~
ELEC. SERVo
DESC. TYPE
FIX'S
APPLIAHCES
NEW
SW'S
CHANGE
VOLTS
RECEPT'S
TEMP.
AMPS
CIRC'S
SIGNS
INSP.' ROUGH N
EST. COST .9~~
REMARKS
SERVICE
PERMIT FEE /r
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FINAL N~rJ'"
DATE PD. Y
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