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Home My WebLink About0010769-Electric (furnace) � _ CI.TY OF OSHKOSH No 10769 PERMIT APPLICATION AND RECORD . TYPE: BLDG ❑ HTG ❑ ELEC�LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS J�� ` I�� 1 " �-- PLAN NO. OWNER �L�(.c�GGC� �/�• DESIGNER : USE/NATURE OF WORK ��h�t--L--- 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 ��CN� 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: Valuatio $ �"� Permit Fee Paid $ �� Park Dedication $ ISSUED BY Date! � '� � � � Final/O.P. �� —u `"� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE l�"� �S�G��-�• � (� � AGENT/OWNER DATE ADDRESS TELEPHONE N