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Home My WebLink About0041650-HVAC (boiler) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 67::'0 Ng-41650 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - ADDRESS J'1~ /- t?CLY 11 15" /nO' k- Ll/ ~ eJ-? PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~/a~e po,i~r BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. "HEATING CONTRACTOR tJ-arTYVloM Y-~ ~ Heat ~ NC 0 Vent 0 Fuel/System /1[ LC~ F L Y Heat Loss. ~" ~ BTU'S / ~~ ~ 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 _DF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ J...t tJ-t? ff!' 04!} ISSUED BY ~ Permit Fee Paid $ Date 'J/ '- en? j ~/~/7ey Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE j) ~ tJ"j; AGENT/OWNER 7j/~/7Y DATE ADDRESS TELEPHONE #