HomeMy WebLinkAbout0025542-Electric (furnace) CITY OF OSHKOSH
N2 25542
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 6 3 L, .9 7J1 PLAN NO.
OWNER R
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DESIGNER
USE /NATURE OF WORK «Q t - ,
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR de-eitue-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures 4 Switches Z-- Receptacle t.-- Circuits .----
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
— WC FDr SP Ur Storm Sewer
- Sink LTub Eject SS Water
Other
y OG
FEES: Valuation $g Permit Fee Paid $ / ® Park Dedication $
ISSUED BY �� re-7 Date !d 1 5'f Final /O.P. ` ` / `/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR l Le-� — / C
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. ,` / . APPL. _____)DA / 2 V
ELEC. CONTR. C6
OWNER a. O
ADDRESS I L' _ e
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AIDS
FIX'S SW'S X RECEPT'S CIRC'SD'(
APPLIANCES
SIGNS
INSP. ROUGHIN o - ----5 SERVICE FINAL /D- /f
EST. COST :577# ' PERMIT FEE/0 4 - DATE PD.1D
REMARKS
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