HomeMy WebLinkAbout0002403-Electric (furnace)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
BLDG 0 HTG 0 ELEC ~G 0 SIGN 0 ZONING
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02403
TYPE:
FLOOD PLAIN
HEIGHT
PLAN NO.
USE/NATURE OF WORK
W~r~
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
---l;!
/~e~
ELECTRIC CONTRACTOR
Electric Servo
Fixtures
New 0 Change 0 Temp 0 Type _ Volts _ Amps_
Switches ,1.------ Receptacles Circuits ~-
4?JJr
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
/
'00 . /
Permit Fee Paid $ J1. .~ V Park Dedication $
Date / / --/6 - g-e:, Final/O.P. /2 -I ~'-5 b
,. p
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~ /~~
AGENT/OWNER
rW/?/ s-G
DATE
ADDRESS dJ..
TELEPHONE #
PERMIT NO. () ~ t/ c?
ELEC. CONTR.
ATE //-20 .-?fh
OWNER
.~~~
. ....~?dL-
CHANGE . . TEMP.
VOLTS AMPS
RECEPT'S CIRC1~
~
,ADDRESS
."'NATURE OF WORK
( ELEC.. SERV. NEW
DESC. TYPE
FIX'S SW'S
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE
EST. COST ,t!J ~ PERMIT FEE
REMARKS