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0048363-HVAC (furnace)
-, ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD j -o-e:; N~-48363 TYPE: BLDG 0 HTG rtJ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS /'g,/9 b? 0 Jr] IJ-r-/ ;;!!"OYlQ Ie lie 1"''5' .. - PLAN NO. OWNER DESIGNER USE/NATURE OF WORK iZtf'/ act!- Ft/ f4V1 q ti2- BUIL91NG CONTRACTOR Size Sq. Ft. ~ Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR ({Q51'n(/'? 5 cP1 's Heat ~ AlC 0 Vent 0 Fuel/System /oL.~ CI-:Jj 'I- ~/? Heat Loss '~j, (') r BTU'S &~~ . t ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 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 _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ ;J I tI-tJ' . 0-() ISSUED BY .~ Permit Fee Paid $ Date // .J-~ r crt? V" 1//:7-$(95- Park Dedication $ Final/O.P. /-;)/5 - <9IQ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. (-"'. ~ \ \ \. ,- SIGNATU~E~~J\.O fA ~Di- ADDRESS l 0 \ ~ ~.. NER Pi < /#~f/7r DATE ~]v 10501