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Home My WebLink About0016213-Electric (furnace) � _ CITY OF OSHKOSH N°_ 16213 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �LBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �- � ( M f'2 R ► � �v e-- PLAN NO. OWNER � + �� e-� Z o.L+ �.. DESIGNER USE/NATURE OF WORK u� ` R.-e- v�-Q..� {v 2 r�a,c f� 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 ELECTRIC CONTRACTOR � �•�- +� �� -'� �� -a- �'1 � 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 �S °.�—✓ � o � FEES: Valuation $ --�- Permit Fee Paid $ , Park Dedication $ ISSUED BY Date��—� � � / Final/O.P. �l —� - �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� AGENT/OWNER DA ADDRESS TELEPHONE# � t 1 a r � PERMIT NO. �� `I � . APP . DATE — - �� E C. CONTR. u� � � � � � � OWNER �C'i��-2i � � � � �D�SS /�- I� -- �'J .�� NA OF WORK � � ELEC. SERV NEW CHANGE TEP'�• � � E VOLTS � � FIX'S SW'S RECEPT'yS CIRC'S # APPLIAN S - � � � �NSP^ ROUGFiIN ERVICE o� FINAL � � -8`� FS COST ! � �` �_ rERMIT FEE S-��DATE PD./1.-6��?9 � REMARKS � d � � — � � �