HomeMy WebLinkAbout0013142-Electric (furnace & a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13142
TYPE: BLDG 0 HTG 0 ELEC E]-'15LBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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~ (-JC-.. ::;,
" ,j
Hul
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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7" ~ f'l It CC (t 'e f~V /1 C
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation
Class of Const.
Occupancy Permit
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
,S;'Cj' Ib F- ~/-e,-'-;-
Fixtures
New 0 Change 0 Temp D
I
Switches
Receptacles
Type _ Volts _ Amps_
I
Circuits
?D/
. Electric Servo
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
ISSUED BY
Permit Fee Paid $
Date
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,t - tf -?f '1
Park Dedication $
Final/O.P. .5 ~ 4- - g 9
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
4 Yle~~
. '& AGENT/OWNER
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'""A..) (j I
f DATE r
ADDRESS
TELEPHONE #
pERMIT NO..-1 J I tj '"2-- APPL. DATE ---I -/ Z -1fJ?
~C. CONTR. . X ~A a~-
Q.WNER ~'Z ~ ~-~- :;:;~e,
j;DDRESS L 3 0 3~__-~ - ,
~ ~TURE_<2F WORK_ ~T-
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NEW CHANGE TEMP.
VQkTS AMPS
SW'~ .P"-=- _~S;EPT'S C~RC'~
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SERVI Q:_ :-: F~J..L ') -'1--:11
PEiMIT FTiY~O~DA:Jiy,J:.~S-'i-:f'?
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ELEC. SERVo
'Q:ESC. TYPE
FIX'S
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~PPLIANCES
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