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0047892-HVAC (furnace)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 6tnJ Ng- 47892 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER J~?-o j)OYj tiP, 5 flla f1 i:- n; Cjd!~j PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK iZtti/ac e &rUD/.a.- BUILDING CONTRACTOR " Size f< Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR r."7- r ~ Heat ~ AlC 0 Vent 0 Fuel/System N ....6~ , Heat LossFY/l'jT BTU'S ~P, ~ r ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _FOr _ L Tub _Disp _DW _SP _ WSoft _OF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Lav _Sink Other _ Eject _SS ; I / Permit Fee Paid $ ~t7 '" c.rt::J ./ Date /tP/,p.~9r Park Dedication $ Final/O.P. r-,~1-9/P FEES: Valuation $ ;:zr77, .J-&J ISSUED BY :.fi In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ..> 4, )~ ~ AG ,OWNER /tt?/.?#9j- / DATE ADDRESS TELEPHONE #