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HomeMy WebLinkAbout0000591-HVAC ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N!! .00591 ~P.E:. .~l~~.C? ~T~ J( ~~E~.C? ~~B~.C? ~I~~.C? .~O.N~N.G.~. .F~~~D.~~I~~. ~~I~~T~ ADDRESS g¡ (; þt/4dI A-.A.I C f- OWNER 4J4y ~ç &;'4y ~~,4L4L-- PlAN NO. DESIGNER USE/NATURE OF WORK ÞGt:..V d/¡Jc;:,L.tI? ~.J.-(( L-<-¡ ÆF)/ ..A-t~ f .JI ß-"" /' 4.é..t=. / Ps i?9J/-t../ftr( d ,J BUIlDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Canst. HEATING CONTRACTOR 4.:,q usst:='-..d Heat ~ AlC 0 Vent 0 Fuei/System ¿;"~4 Heat Loss BTU'S / ú~, âoa ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps - Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT -WH -Sh _Disp _WSoft -CBasin _DW _DF - San. Sewer -SP -Ur - Storm Sewer _Eject -SS _Water _Lav _WC _FDr - LTub -Sink Other I 24- Ob r/ Permit Fee Paid $ , - ISSUED BY """-- Date Q ~jf",fL Park Dedication $ Finai/O.P. /° ';t.ð'-rç,. ADDRESS In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE'~~~ G\q~~ !l\ \~\~~ ! AGENT/OWNER \ OAt¡; \ q \ -s- ~~ X\ "23 Tf.~HO~-:("l