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HomeMy WebLinkAbout0040000-HVAC (wood stove) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 Jt78 40000 TYPE: BLDG 0 HTG ~ ELEC D PLBG D SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /J'j/ 8,'s Yna r k.. PLAN NO. OWNER '5 tr:U t:..-&"1 cJ l/ick/ I( i~bGt )/ DESIGNER USE/NATURE OF WORK Pv~ J? /5 h ct- ..,t h..J~; rf-411 U/GJed $"lYe v e. BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Class of Const. Occupancy Permit HEATING CONTRACTOR & c..u f1 -.e j/'I t. v> Heat Lf AlC 0 Vent D Fuel/System 5t:'lrd Heat Loss /?"I17r BTU'S Vc~ r/~ " I-e... I' ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp D Type Volts _ Amps_ Circuits Fixtures Switches Receptacles 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 $ /";}~, c/-C) ISSUED BY ~~ ~. J Permit Fee Paid $ )Jtf!J - C/O Date k/lde;7 Park Dedication $ Final/O.P. t ~ .. 91 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE t)./de~ ~4/K, . AGENT/OWNER (.,1/ 5/9~ , DATE ADDRESS TELEPHONE #