HomeMy WebLinkAbout0002319-Electric (furnace) CITY OF OSHKOSH No 02319
L' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC k PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / f 5 L PLAN NO.
OWNER I / ''V au .��:�.t�1.�.4e%t
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 &4_ -- -_a, , )..,,
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
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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
dow FEES: Valuation $ r/ Permit Fee Paid $ Park Dedication $
ISSUED BY 1 / �' ✓ , %� /-2_ "
Date �' g ^ 4F‘ Final /O.P. / 2 — r 76
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I��i���(/1 / V
AGENT /OWNER DA
ADDRESS
TELEPHONE #
PERMIT NO . .Y/ 7 . APPL . DATE l /
ELEC. CONTR. 1
OWNER
ice;
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ADDRESS
/ ys��
NATURE OF WORK
E,LEC SERV. NEW ANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S SW' S �.. RECEPT' S CIRC' S
APPLIANCES
SIGNS _
INSP OSTGHIN � � SERVI � DATE PD .� 1546 b
EST. COST 9�
REMARKS