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Home My WebLink About0036400-Electric (furnace & a/c) �iz ; /� CITY OF OSHKOSH N° 36400 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC PLBG � SIGN ' ❑ ZONING FLOOD PLAIN HEIGHT � q - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� / � ' �,�,J � PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ' BUILDING CON7RACTOR 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 Electric Serv. New � Change � Temp � Type Volts Amps Fixtures__,_ Switches �� Receptacles__ Circuits V -�� ♦ PLUMBING CONTRACTOR —BT —WH —Disp —WSoft —CBasin —Lav —Sh —pW _DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink _LTub _Eject _SS —Water Other FEES: Valuation $ �S 0-c7 4� Permit Fee Paid $_ /S�-�^•o - Park Dedication $ ISSUED BY Date_ /D�i a�9� , , Final/O.P. In the performance of t ' ork I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE A NT/ NER DA ADDRESS TELEPHONE# PERMIT NO. �� T�� . APPL. DATE �'!�L 3/ri 3 ELEC. CONTR. /l�C�.G� OWNER /�,/l.��rLl./,� �,c ,�1�-G -� ADDPFSS 3 O g �. NATURE OF WORK �',T FC• SERV NEW CHANGE TEMP- DESC TYPE VOLTS AI�S FIX'S SW' S RECEPT' S CIRC'S APPLIANCES I'GN INSP. ROUGH N SERVICE FINAL Z3 � EST. COST 'SO.�o PERMIT FEE ' :, - DATE PD. 3 REMARKS