HomeMy WebLinkAbout0012148-Electric (furnace)
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
12148
TYPE:
BLDG D HTG D ELEC ~LBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS :::2 117
U Il- b t'l-V\
OWNER
lIaYh ;/ Jv VI
13/ ~/Y1 /Go
PLAN NO.
DESIGNER
USE/NATURE OF WORK
lA/ ,/L()
.;' V JZ-.i') c.. c e
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
C A 0 <v'" G:! e c~; 'c--
Fixtures
New D Change D Temp D
~
Switches
Receptacles
Type _ Volts _ Amps_
Circuits a/
~
Electric Servo
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
'_Lav
_ San. Sewer
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
~ Eject
_SS
_ Water
Other
Permit Fee Paid $
Date
Park Dedication $
Final/O.P. /- /7':-~9
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
~07~
AGENT/OWNER
1//8'/87
, DATE
ADDRESS
37QS
LJ, kJ a vie ~ u At/a,'
TELEPHONE #
"
ADDRESS
~ATURE OF WORK
ELEC. SERVo
DESC. TYPE
iIX'S
APPLIANCES
D7
PERMIT NO.
ELEC. CONTR.
OWNER
TEMP.
AMPS
CIRC'S t)
SIGNS
INSP. ROUGH N
EST. COST
REMARKS
SERVICE FINAL
PERMIT FEE '.:::----DATE PD
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