HomeMy WebLinkAbout0002120-Electric (furnace) CITY OF OSHKOSH N2 02120
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC li' PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .'SS J �. Shbve, Loob U. PLAN NO.
OWNER - DtZ . - ill L1 v
DESIGNER
USE /NATURE OF WORK LUSA.¢-' F ? V.vor.•e_.
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 G I tzt;',US - 1.G(,7`h.E .&.
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
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ZtO
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
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FEES: Valuation $ 1 Permit Fee Paid $ /o / Park Dedication $
ISSUED BY Date /7 .-- l O 57 — o to Final /O.P. l/— / ir p /_ - D t '
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE aU d t _
AGENT /OWNER � � DATE
ADDRESS
TELEPHONE #
PERMIT NO. O �/ 2 0 , APPL. DATE / / _ /f --U
ELEC. CONTR. /t- 141-:- = - ; ,
OWNER OV4 7
ADDRESS S 5 5 - ` 'Ai°'
NATURE OF WORK /
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'SP(
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINALii_itli
EST. COST 7.5---- 6 PERMIT FEE 2i DATE PD.P-#4.6
REMARKS
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