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HomeMy WebLinkAbout0011326-HVAC (furnace) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 11326 ~~P_E~ _ _ ~L~~ _~ _ ~T? _ ~_ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N? _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER &"JVJ p/'5"'mof'1L d? CU1()Y >k 5' 5 PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK-----J~tr-e- r: t/ r 1'1 tZ-I!' /"_ , 41 ::;: PRes BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height < Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR T?e-/ a -,ze ~7n e h Heat rpAlC 0 Vent 0 Fuel/System #P- Heat LOSS~~ BTU'S /7~~ 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 _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ ISSUED BY pI; ~ ~ ug Permit Fee Paid $ ~ . Date 7 =? < c/1? V Park Dedk:ation $ , /0 '7j' :?7 Final/O.P. ~~o.h '/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE if~ 10'71/? / AGENT/OWNER OJd'E ADDRESS TELEPHONE # ~\':R"t~ ~O.~A~~'" llAtE A\lllR\lSS : r :L-. ---- NATURE OF'flORlZ t\F.l\TIl'\G CONTRACTOR Fur.l.: f5) 011. CONll 1 T1 oNIN G OR<% II AIR R. ~ . \,:,,\':C. liAS\': s1'EAlI S1S'l'EM. GRA'll"'" SU~~1.Jll<EN~AR~ AIR CoNll, C\l1MN1l~' "A"" / lll1lEC~ 'iEN~ CON. llURNER ~ t;'/y/'O CA"CULA1'Ell R\':A~ LOSS ~S%'l'EM. 1l'r1l RA~lNG J-.t;-- . · MISC. INS~ . ROUGR IN - ~flNAL' 0 \,:s1. CoS~ AI,~mn~ VE\':S~llA Rf,l1l\RlZS ~ - SOl.l\R SOLID O'flNtR