HomeMy WebLinkAbout0001488-Electric (furnace & a/c) CITY OF OSHKOSH N2 01488
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELECePLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /3/C7 T O 4u -„'" S PLAN NO.
OWNER L ..,.....e
DESIGNER �` �,[ p
USE /NATURE OF WORK tu r '^'L° 91 tJ l v' n ac e eer-+ - 0'a-1 e''` t v,-
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 At - F /e c1
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits it
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 $ 2 /IL-- Permit Fee Paid $ / Park Dedication $
ISSUED BY , `� il� Date r" -- e 2- -- 5.— Final /O.P. 9 - - 2 -5 - Ye'
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR // Air
j AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO. _ C o APPL. DATE U ( � X74'
ELEC. CONTR.
OWNER 1)�'"
ADDRESS / 37 l!/ _
NATURE OF WORK ......f
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S X.._ RECEPT'S CIRC'Slic
APPLIANCES
SIGNS
INSP. ROUGHIN ti SERVICE FINAL9,2j -T4
EST. COST jr.7QQ 0 - PERMIT FEE /1 � DATE PD 2rU
REMARKS
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