HomeMy WebLinkAbout0008272-Electric (furnace) CITY OF OSHKOSH N2 08272
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN (11 ZONING FLOOD PLAIN HEIGHT
ADDRESS 13 n /14.6), (ii _ PLAN NO.
OWNER d7 I th /sJr/ GI
DESIGNER
USE /NATURE OF WORK --[ '" "' rI d d-5L .
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ` Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel /System
Heat Loss BTU'S
ELECTRIC CONTRACTOR SIG P.!
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits 12/P., l
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 $ Permit Fee Paid $ r/
Park Dedication $
ISSUED BY 7,l/] Date 5 / 6 `S Final /O.P. S -/6 - F7
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (L5 e Tc A! `/>--- / /(y\� //��S/)
AGENT /OWNER
DATE v ` v
E
ADDRESS
TELEPHONE #
PERMIT NO .6 T 2 . • PL. DATE 5 /41 — Y
ELEC. CONTR. ` /� —
OWNER et/) , 4
ADDRESS / 3 / �
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW'S RECEPT' CIRC'S
APPLIANCES
SI GNS
INSP. ROUGHIN J SERVICE FINAL 1 - - /Gict
E ST . C OST S D PERMIT FEE 7' — DATE PD 5—/1 -81r