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Home My WebLink About0028747-Electric (furnace) � CITY OF OSHKOSH N° 28�4� `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '_ ADDRESS �✓� �v - + �� -- PLAN NO. y OWNER �,r.� ( �'_��. DESIGNER USE/NATURE OF WORK �-�/��- _� - 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 EI FC'TRIC' ('(�NTRAC'T(�R C G �-�T Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � Fixtures Switches—�� Receptacles Circuits� O�� 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 � - Date 5 '- � �y z--- Final/O.P. o) ` � `y L. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Z �� . a� S "� I-� AGENT/OWNER DATE ADDRESS : TELEPHONE k "