HomeMy WebLinkAbout0004866-Electric (furnace) CITY OF OSHKOSH N2 04866
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC P ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS { 0 �A/ �I
PLAN NO.
OWNER
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DESIGNER
USE /NATURE OF WORK _.r7 u r h � ( ) (;4T IA , .
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 V all Cl c ttcv
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
1
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 $ r7c- 0Z, Permit Fee Paid 44. d $ Park Dedication $
ISSUED BY
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Date 2 — 7, Final /O.P. S :).- 7 - F7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /...- de 1/4..c G f .,/ e -7 --87
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #
PERMIT NO. �/ l APPL. DATE 7 " J �7' 7
ELEC. CONTR.` /z's ."7/E__;771,a
OWNER
ADDRESS v ✓ S
NATURE OF WORK -LGCr�A
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'S*,
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE FINAL 7$7
EST. COST p.5 ° PERMIT FEE � DATE PD g`7 -
REMARKS
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