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0006533-Electric (furnace)
/� CITY OF OSHKOSH N� 06533 `' PERMIT - APPLICATION AND R ECORD TYPE: BLDG ❑ HTG � ELEC �$( PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT 1 . � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �v . � T y A�f � , . PLAN NO. OWNER O /h DESIGNER USE/NATURE OF WORK ti✓��'� /(/-Q�,, l�rr(a C � 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 CONTRACTO C �'C r �' O� . Electric Serv. New � Change ❑ Temp � Type Volts Amps Fixtures Switches Rece tacles P Circuits � PLUMBING CONTRACTOR —BT _WH _Disp _WSoft —CBasin —Lav —Sh —pW —DF —San. Sewer —WC _FDr —SP _Ur —Storm Sewer —Sink _LTub _Eject _SS —Water Other FEES: Vafuation $ ���ermit Fee Paid $ � Park Dedication $ ISSUED BY Date�—�—1�— d � Final/O.P. �� ��—�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �/ /z �/ /� AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NO.�/ � J � / . APPL. D TE �� � � ELEC. CONTR. G�� � y' � OWNER � `- � � ��� ADDRESS �� �'�'�'�n� - NATURE OF WORK ' J E?�EC SERV NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS FIX' S SW' S RECEPT'S CIRC'S APPLIANCES SIGNS I1VSP ROUGHIN � S ERVI CE F INAL ���-87' EST COST O PERMIT FEE��-� DATE P -��-$7 REMARKS