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HomeMy WebLinkAbout0016031-HVAC (furnace) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 16031 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS / J3 øa/dcu/n I9v¿ . Jome-1" J)t/-eÎr29 / PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~Jt2 r:e p/./ F" n-d ¿..e.- :?F £5 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR I..-(//, f'/~./ J-I-y ( Heat ß> NC 0 Vent 0 Fuel/System ..if/. ¿; Heat Loss £.~.'çr- BTU'S ¿;~ ~ ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _WSoft _DF - CBasin _Lav - San. Sewer _WC _FDr _LTub _SP _Ur - Storm Sewer _Water _Sink Other _Eject -SS FEES: Valuation $ / ¡"?"tP Pt:? Permit Fee Paid $ P /. V'7!!J ,/" ~~ Date /C/~ð/ ß Park Dedication $ ISSUED BY Final/O.P. /- ?O-90 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~s~1f AGENT/OWNER /¿)/~o/~ / DATÉ ADDRESS TELEPHONE #