HomeMy WebLinkAbout0010830-Electric (furnace & a/c) (411) CITY OF OSHKOSH N2 10830
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC [/ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS "7 J t `l fvl N trte) PLAN NO.
OWNER G-t S e_L e ,-
DESIGNER
USE /NATURE OF WORK E- .> it- na-c e G ,. e A t
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 C in �,..> n e e 2 c,
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits l--"". f
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ -� Permit Fee Paid $ Park Dedication $
ISSUED BY / �i/ =! � Date l /J Finai /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e q / / ? A ,
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
PERMIT NO/ 3t APPL. DATE / /" 7 - o
ELEC. CONTR. /
OWNER �� `� X
ADDRESS 7 5 _ ./
NATURE OF WORK /'
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT'S CIRC'
// ���
APPLIANCES
SIGNS
INSP. ROUGHIN o G SERVIC F INAL4D -- 7-Ar
EST. COST ,7,> PERMIT FEE/_3---- DATE PD /d-7 -4r
REMARKS
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