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HomeMy WebLinkAbout1990-HVAC (furnace) � CITY OF OSH KOSH N� 21620 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS (L� ��Cx7�� �U y7G� PLAN NO. OWNER ��/ J K G (/ A : DESIGNER USE/NATURE OF WORK l/ Q C� S� V � BUILDING CONl"RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR L���1 �� �� � � i Heat � A/C ❑ Vent ❑ Fuel/System �-� Heat Loss L=�� S � BTU'S yG L� ELECTRIC CONTRACTOR 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 Ot�er � FEES: Valuation $ �� • �� Permit Fee Paid $ � � �� Park Dedication $ ISSUED BY Date Final/O.P. �°2 '"��" 'l�b In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � %..._ ' ^ .. � � SIGNATURE � d AGENT/OWNER DA ' ADDRESS TELEPHONE# �