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HomeMy WebLinkAbout0019896-Electric (furnace) � CITY OF OSHKOSH N°_ 19896 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� f/� '� ��� '^ '� � PLAN NO. OWNER � � / �L- DESIGNER �. USE/NATURE OF WORK I GL�/�G�_ 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 . Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches�2� 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 $ O' � Park Dedication $ ISSUED BY Date ���� �`� Final/O.P. �/� �j� In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE �2 L� G —� � � �_ AGENT/OWNER DATE ADDRESS TELEPHONE#