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Home My WebLink About0030906-Electric (furnace & a/c) � CITY OF OSHKOSH N° 30906 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC Q�" PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT c » - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - "_ ADDRESS I�� ' • PLAN NO. OWNER C Vl�)� �ul� • DESIGNER USE/NATURE OF WORK �/� f" `�'��-- 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 EI F('TRIC' C'(�NTRAC'T(�R ��ZG � • 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 $ �-� Permit Fee Paid $��• � Park Dedication $ ISSUED BY Date �``�'" �- -�r- Final/O.P. G �'�-��! �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Z- ��G � � - C�, SIGNATURE ` �-� /� _ � AGENT/OWNER DATE ADDRESS TELEPHONE# � � _ € i PERMIT NO. � � �� . APP . DATE , —�� -- � a �� ' ELEC. CONTR. � € . � ' OWNER �� °�� , ' � � P.DDRESS � 3 � � � � NA"'UR OF WORK � SERV NEW CHANGE TEMP_. _ ___ � � �L'SC TYPE VOLTS �S � FIX' S SW'S RECEPT' S CIRC'S � � AAPLIANCES 3 ; ; I� ? 3 INSP. ROUGHIN SERVICE FINAL -3-'l�q1i g EST COST 6oa PERMIT FEEI'� °� DATE PD�l�y 9"� ; REMARKS � 4 � t � f