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Home My WebLink About0042168-Electric (a/c & furnace) o �/ � CITY OF OSHKOSH N' 42168 n PERMIT - APPLICATION AND RECORD - TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS ��3 �" • � PLAN NO. OWNER l DESIGNER USE/NATURE OF WORK BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit : HEATING CONTRACTOR � Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S /�. FI FCTRIC r(�NTRACTnR r LLG( �Q. ° ,�(-[�C Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits 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 �S�7 / Permit Fee Paid $ r S `� ° Park Dedication $ �SSUED BY ` Date � 3 � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE : ADDRESS TELEPHONE* �( 2_ PERMIT NO. �Z�� . APPL. DATE ELEC. CONTR. l��`��'`'� � OWNER ��-a�'.�%r�`r"/J'.l�.''r` /s�y ADDF�tESS � �3 � 7 �` � NATURE OF WORK � �C. SERV. " NEW CHANGE TEI�. � DESC. TYPE VOLTS Al�S � FIX' S SW'S RECEPT'S CIRC'S A4pL�ANCES � GN , � N . ROU N ER CE F N o � . COST z��•�S PERM T F �� DA D.ro i3 y�- � R�RKS � € � .�c�+ '� ��.� � �