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HomeMy WebLinkAbout0002490-Electric (furance) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 02490 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS (533 B;s~Js l~t-. PLAN NO. OWNER dztf- ~J- DESIGNER USE/NATURE OF WORK Wi r v<'t; ~ ~h;:;'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 n;h-k S~r t----af <J r: Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches IX.. Receptacles Circuits {' ~_ PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ ISSUED BY / ~ ,j 6 v"1 Permit Fee Paid $ . ~ Date /;A -- 3 /~ 'if & Park Dedication $ Final/O.P. ( 'd--J ( - g- 6 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUREjfA'i 1(. SlJ~. 12- 5 J-g(.., AGENT/OWNER DATE ADDRESS TELEPHONE # 'ELSC. CONTRo '"' O~f.R AttOP,;SS.. . NATURE OF \ioitK CH~GE VOLTS RE~PT'S '!'EMi! . ~S C:tRC'S :tGNS :tNS'l? . ROUcmtN ES"r. COS'! J:c2 'REMARKS SERvtCE t>ERMi.T 'FEE