HomeMy WebLinkAbout0028758-Electric (furnace & a/c)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
28758
TYPE:
BLDG D HTG D ELEC % PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
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Fixtures
New D Change D Temp D Type _ Volts _ Amps_
Switches ~ Receptacles Circuits X
Electric Servo
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PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
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Permit Fee Paid $ I b < OD. Park Dedication $
Date r;-- ::J-t -Y;2--Final/O.p. 'J ~ .2-(-.;/2-
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ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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{ AGENT/OWNER
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DATE
ADDRESS
TELEPHONE #
ELEC, SERVo NEW
DESC. TYPE
FIX'S SWIS
APPLIANCES
2- I ~9c
PERMIT NO.:A ';5 7 5 g
ELEC. CONTR. ~~.
OWNER tJ)
ADDRESS :L LP
NATtJ'RE OF WORK
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CHANGE
VOLTS
RECEPT'S
TEMP .
AMPS
CtRC' S '\
P<..
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SI'GNS
INSP. ROUGHIN SERVICE FINALS-;2../~12.--
EST. COST I cPt? ~ PERMIT FEE /d 0'-5:::- DATE PD.5-2J-1J---
REMARKS