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HomeMy WebLinkAbout0028746-Electric (furnace & a/c) � CITY OF OSHKOSH N° 28746 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS �.� lf' W • I ��h /`�1�L PLAN NO. OWNER ��-� DESIGNER USE/NATURE OF WORK _if�{'I.r1%i�_. —4 �/C� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S ELECTRIC CONTRACTOR �� c!��UY • ' ' 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� )1-/���7 Date � �-�� ` /�— Final/O.P. �� ��_y� , In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE � ��� � � �c� I-��-- �� AGENT/OWNER DATE ADDRESS TELEPHONE# �