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HomeMy WebLinkAbout0005685-Electric (furnace) /, CITY OF OSHKOSH N° 05685 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRE'SS ��� � I"/ �� PLAN NO. OW NER_ � m(+� � d[� ���"T C�n DESIGNER USE/NATURE OF WORK �1 l�''e �U r v►a c � BUILDING CON�"RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/5ystem Heat Loss BTU'S ELECTRIC CONTRACTOR O 'L 1? �. � I e-�.- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches v 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 $ 7� Go Park Dedication $ ISSUED BY Date�� �� — �� FinaUO.P. �� � � —o ` In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ��� � SIGNATUR��../--�L / 3� ��/�02� $ �� AGENT/OWNER DATE � ADDRESS TELEPHONE#