HomeMy WebLinkAbout0044167-HVAC (furnace)
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CITY OF OSHKOSH N2 44167
PERMIT - APPLICATION AND RECORD
ADDRESS
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; /7 Aa/dú//n
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PLAN NO.
OWNER
DESIGNER
4/úce
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATING CONTRACTOR {' {/ '7 1v l'h If.-I-1
t Heat ~ AlC D Vent D Fuel/System /IJ~ <
Heat Loss J=--:.r I ~ i
BTU'S
&'¿? ~
I
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_FDr
_Disp
_DW
_WSoft
_DF
- CBasin
_Sink
Other
_LTub
_SP
- Eject
_Ur
- San. Sewer
- Storm Sewer
_WC
-SS
_Water
FEES: Valuation $ ~ (;/'-f:.:J
ISSUED BY
/
P. . $ 1Ii1~ c/'-eJ j
ermlt Fee Paid ,/ jI' .
Date r/?t / éj 5-
Park Dedication $
Final/O.P. ~ -/& -9'5
In the performance of this work J agree to perform all work pursuant to rules governing the described construction.
SIGNATURE d~ ~~ .
AGENT/OWNER
ADDRESS ~?'8
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dJ.:55- 7ó2t5"3
TELEPHONE.