HomeMy WebLinkAbout0019901-Electric (furnace & a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19901
~~:E~ ~L~G [~ _ H; ~ ;E~ ~;::; :l~ONING_ _ _ _ _ _ -'~~~D_ PLA:~~ ~~_ _ ~~'GHT _ _ _ _
OWNER }la/fir. (;J~~
DESIGNER
USE/NATURE OF WORK --fivr~- -j- A--/ c-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
($ 'i c/:: ~
Electric Servo
New 0 Change 0 Temp 0 Type _ Volts _ Amps_
Switches X- Receptacles Circuits ~
Fixtures
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_ WSoft
_DF
_ CBasin
_Lav
_WC
_FDr
_DW
_SP
_ Eject
_ San. Sewer
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_SS
_ Water
ISSUED BY
Permit Fee Paid $
Date
Park Dedication $
Final/O.P. ;?-I}'- 9 CJ
In the performance of this work I agr~e to perform all work pursuant to rules governing the described construction.
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AGENT/OWNER DATE
SIGNATURE
ADDRESS
TELEPHONE #
PERMIT NO. L '19tJ I ~ATE 7-;2~ -YO
ELEC. CONTR. ~ ..
:::55 . ~ t/~
NA~URE OF WORK fJL.-v~~ ~ t$ V a:,- 6
ELEC. SERV. NEW CHANGE TEMP .
-,
DESC. TYPE VOLTS AMPS
FIX'S SW f S R\. RECEPT I S CIRC' S ~
APPLIANCES / ..
SIGNS
INSP. ROUGHIN ~
EST. COST / 60
REMARKS
SERVICE FINAL~z'-'i'O
PERMIT FEE t4~ DA':..'E PD'9"'n4'/J