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Home My WebLink About0042484-Electric (furnace & a/c) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD (p(e.--- N~-42484 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~)f- ~~B~ _ C? _ ~I~~ _C} _ ~O_N~N~ _ _ _ _ _ _ _F~~o.D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS Lft2 7 >d~ PLAN NO. OWNER ~ DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~. Electric Servo New 0 Change 0 Temp 0 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 _ L Tub _ Eject _SS _ Water Other FEES, valua~;Z fj~ , PermO Fee Pald $ ISSUED BY. '/-e~ Date 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 DATE AGENT/OWNER ADDRESS TELEPHONE #