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0046570-HVAC (furnace & a/c)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD j"V. Z- N! 46570 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS I P-J / f3 ( ') I'YlCl fA k Ph,.! Prv / PLAN NO. OWNER DESIGNER yl-t;l/o-u r?/NUZC.:2 ~ ff/o.- USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR l2a'j JorZ U~ S'r' Vt (-;- i Heat ~ AlC ~ Vent 0 Fuel/System At- C-. 1I-'1'f ~ 11-/ C- Heat Loss C~i'-7 r BTU'S r.o:~ q I 'Ii- m/1' /4fL ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _Disp _DW _SP _ Eject _ WSoft _DF _ CBasin _WC _FDr _ L Tub _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _SS FEES, ValuaIJon ~ - v<J ISSUED BY Permit Fee Paid $ Date / '3 ?'~ o-eJ /~ r?J1I96 Park Dedication $ Final/O.P. ~ -1& - q&s In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~'-e....A ~~ L~-->>- \C\ l<: , 5Jj~/9~ DATE 7--( r-~ ~bf ADDRESS TELEPHONE #