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HomeMy WebLinkAbout0023476-Electric (furance & a/c) /� CITY OF OSHKOSH N°_ 23476 `' PERMIT - A PLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS J�(`�LJQC-���d�) PLAN NO. OWNER t 114�1U S''t DESIGNER USE/NATURE OF WORK �LJ/�/'1Q c e Q 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 ELECTRIC CONTRACTOR G'C !� � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches �� Receptacles L--- Circuits r PLUMBING CONTRACTOR —BT _WH _Disp —WSoft —CBasin —Lav _Sh _DW —DF —San. Sewer —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub —Eject —SS _Water K Other . � FEES: Valuation �O�"'"— Permit Fee Paid $ /� Park Dedication $ ISSUED BY Date S�� �`( � Final/O.P. S ��-���l In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNAT RE ���!��� AGENT/OWNER DATE � ADDRESS TELEPHONE# � - �i y Q � PERMIT NO. � ��/ � � . APPL. DATE �_// � ,/ ; ` � y ELEC. CONTR. -z'� -�� ; ; � �/1L�� � � OWNER /L � � ADDRESS l�/� -- ������ ` �: � NATURE OF WORK f � � : � �'�I FC SERV NEW CHANGE TEP�. � � D C. TYPE VOLTS P.MPS � j FIX' S SW' S RECEPT' S CIRC' S ' � APPLIANCES i � SI�GNS - - � 3 INSP. ROUGHIN SERVICE FINAL S�`�-9`q/ r ; EST COST r �'D ' PERMIT FEE /:y �DATE PD.5�9'`�'/ : r REMARKS t � f , ; -