HomeMy WebLinkAbout0005691-Electric (furnace)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
05691
TYPE:
BLDG D HTG D ELEC ~ D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
::-:(,-9 (J
~~
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
PUY'YlCtC'-E'
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
"Jiieat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
EL~CTRIC CONTRACTOR J-I () '<- h n <:Q....
Electric Servo New D Change D Temp D Type _ Volts _ Amps_
Fixtures Switches L..---- Receptacles Circuits '-------
160,
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
Permit Fee Paid $
Date
!L .- ,// P k 0 d' . $
.' . ar e Icatlon
/ c:1-;;2 - 7 7' Final/O.P. / If ~ ;;z- - iT 7
~ , , ~
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~
Ik~~
AGENT/OWNER
/IJ/:.v k7
DATE
ADDRESS
. TELEPHONE #
ELEC. CONTR.
~2 (')-fi~U
,::::7
. j!:2:~
f/ CHANGE
VOLTS
~ RECEPT'S
.
4
l'ERMIT NO. cYSt ~
I
OWNER
l:::DDRESS
NATURE OF WORK
ELEC. SERVo NEW
DESC. TYPE
FIX'S SW'S
APPLIANCES
TEMP.
AMPS
CIRC' S ~
SIGNS
INSP. ROUGHIN SERVICJ:: . . FINAL II~). -i1
EST. COST .)'-d'cp"- -~PERMIT FEE,.lf9c::.- ~TE PO/ti'-;t-17
REMARKS
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