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Home My WebLink About0026164-HVAC (chimney) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 26164 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING - FLOOD PLAIN- HEIGHT- TYPE: OWNER 711 ?r J-cJ h 11 r3a Ycu/r¡ Thr'lf J:J(/ e PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK r:h ¡'l?ll11íy ~ ~-tlß!æl" ý , ~a ,'f' c¡ )¡'h er 7:F £"'5' BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR ~.J~a /trr>'¡ Ch t'ffll1o{'(/ ~-e/'../~h~75 . Heat D NC D Vent D Fuel/System (11~ cþ, 'Heat Loss - BTU'S -ELECTRIC CONTRACTOR Electric Servo Fixtures New D Change D Temp D Type - Volts - Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _DW _WSolt _DF - CBasin - San. Sewer _Lav _WC _FDr _LTub _SP _Eject _Ur - Storm Sewer _Water _Sink Other _SS FEES: Valuation ~ d't? ISSUED BY Permit Fee Paid $ /~-. ~ ./ Date d/7/&;'/ Park Dedication $ Final/O.P. /::;;-)"/-'1, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 0 -# 4" 7;;';' .~ /" AGENT/OWNER ADDRESS <}>'57d /""V;- O,-¡-/<: ~dc/¿J /1)7/9/ DATE p(/ ¿r- .;À.;7/ - 4-'17 , ø TELEPHONE # /