HomeMy WebLinkAbout0039849-Electric (furnace & a/c) ev /Z
CITY OF OSHKOSH N2 39849
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECXPLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS `�� PLAN NO.
OWNER
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR O
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR _, Zget.G. _
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles 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
FEES: Valuation $ A90. 0 a Permit Fee Paid $ /l) • O 0 Park Dedication $
ISSUED BY J4-, d _ _ , Date to %/},‘
Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. 354$7 j . APPL. DATE S /�Ihlif
ELEC. CONTR.
OWNER 414 14
Z Z t
ADDRESS /I w � � -'
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S
APPLIANCES
¢ axA. C
SIGNS
INSP. ROUGHIN SERVICE FINAL 111
EST. COST l ®o • o a PERMIT FEE /D.o o DATE PD. 11
9V
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