HomeMy WebLinkAbout0006242-Electric (furnace) CITY OF OSHKOSH N° 06242
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /Yc9.. S'i y-i PSO 17 PLAN NO.
OWNER R1J b`t il R3 /D °t? dG ix.
DESIGNER
USE /NATURE OF WORK a) f r e,. Po ( na G .
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 40 €. I) n e- E l
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches 1 Receptacles Circuits j'"�— roe'
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 $ , — Permit Fee Paid $ 'l Park Dedication $
ISSUED BY /� 1 j _ , _ , Date fr — 7 Final /O.P. // /3 — 2 7- 7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /dl n•-c
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AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
6' / 2-/I 7- - -- .. . TE e -.-7 7
PERMIT NO. Or
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OWNER
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P. 'OU N _ �° DAT •� - 1�i
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