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HomeMy WebLinkAbout0040040-Electric (furnace) 47 1Z- CITY OF OSHKOSH N 40040 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS // V/ SL ,'757i4-. PLAN NO. OWNER DESIGNER USE /NATURE OF WORK 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 ig Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits 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 $ S ©.O Permit Fee Paid /0 e o Park Dedication $ ISSUED BY ig,11-0"— $ Date f /2//9 fG Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 00,C/7-(17-2-•-- AGENT /OWNER v DATE ADDRESS TELEPHONE #