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HomeMy WebLinkAbout0005710-HVAC (furnace & a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 05710 TYPE: BLDG 0 HTG)zp ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / r3~ IJr/~/,?q Jc;h n !frc5e PLAN NO. OWNER DESIGNER Ref/ace- Fv01t2C.e 'Y- Me! q/I"- '3-t:- R ~ l' USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ;<, HEATING CONTRACTOR.. T ee/t:! - ZeuJ-n e f"? ~ Heat Lp AlC rp Vent 0 Fuel/System ;V_t:-. Heat Loss t::~/S"T BTU'S 7~ 0'7J-Z7 cr- I Y.t-- ~ P? 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 _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other FEESo Valuation $ t:: t:1t:? c.<eJ ISSUED BY Ct. ~. Permit Fee Paid $ Date / )9'. ;.-b/' /&7 /;r/3" 7 . / ' Park Dedication $ Final/O.P. /.;( -/'-J7 In the perlonnan~ce of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .__~ /t:?/:z-Jf?7 I AGENT/OWNER . / DATE ADDRESS TELEPHONE #