HomeMy WebLinkAbout0010778-Electric (furnace) CITY OF OSHKOSH No 10778
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC 'PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2_0 Aol ry L _ PLAN NO.
OWNER (Vd
DESIGNER
USE /NATURE OF WORK 4..rh Z ce_.___
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-- / �
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches ,.\------ Receptacles Circuits 9-C----
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 $ ' Qb Permit Fee Paid $ 7 al) `/ Park Dedication $
ISSUED BY I%':h���,/ Date / - "0 6 Final /O.P. � •---- — g '21-
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE apt, �"5 2 G -
��
AGENT /OWNER DATE •
ADDRESS
TELEPHONE #
PERMIT NO./ C t/ 2 APPL. DATE ` "2 -- y - U v
ELEC. CONTR. A X .7
OWNER L
ADDRESS ?o C
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S _ RECEPT'S CIRC'SK
APPLIANCES
SIGNS
INSP. ROUGHIN SERVICE d c , FINAL i
EST. COST 5 p --"-- PERMIT FEE •V---- DATE PD ( !44o
REMARKS
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