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HomeMy WebLinkAbout0028289-Electric (central air unit) /� CITY OF OSHKOSH N° 2s289 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC � PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� ✓"�� PLAN NO. OWNER ����� �l�!�5 7�'�'T DESIGNER USE/NATURE OF WORK��� �� N� � 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 �l-``�� �=���'�"�� -L'`''� ' 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 [ c� G L FEES: Valuation $ `�-- Permit Fee Paid $ �� �- Park Dedication $ � ISSUED BY Date � � �"y� yZ Final/O.P. � � �-y "y� In the performance of this work I agree to erform all work pursuant to rules governing the described construction. d �/ SIGNATURE �` � AGENT/OWNER D E ADDRESS � TELEPHONE ik