HomeMy WebLinkAbout0019350-Electric (furnace) /� CITY OF OSHKOSH N°_ 19350
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC�PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN �HEIGHT
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ADDRESS � � � PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK '���/�G�-���-.�
.
BUILDING CONT"RACTOR
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� Receptactes 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
FF�ES: Valuation $ �� Permit Fee Paid $ ��'�� Park Dedication $
ISSUED BY Date ���l� �� Final/O.P. ?—�( � p�/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
I NAT RE � `�- �--' z C C�.� ~/1 U
SG U
AGENT/OWNER DATE
ADDRESS
TEIEPHONE#
PERMIT NO.
� .�,�.(.�' . APP . DATE O � =Z-��
E C. CONTR. �, �t- _ �
OWNER " `d"- � G�G�
ADDRE S � � �� } Y�
NA E OF WORK �,.
CHANGE 'PEMP.
. SERV. N� VOLTS AMPS
C• E CIRC'S
FIX`S SW' S �-- RECEPT' S
ANCES
SI'� SERViCE FiNAL �- I - a
NSP. ROU H N
E T COST �S % PERMIT FEE/d`= DATE PD.fi-/f-9a
REMARKS
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