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HomeMy WebLinkAbout0032067-HVAC ~ CITY OF OSHKOSH N2 32067 PERMIT - APPLICATION AND RECORD ~P_E~ _ _ ~L~~ _~ _ ~T~ ~ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER If, I ~ &ol'y 8/~ h14 I" k... ?al.z~,~~n PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK II P: A. c;.." , ;V e.-fA/ ~ me BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ~ HEATING CONTRACTORJ,. f:-tv er 1:+- 'f}J Heat ~ AlC 0 Vent 0 Fuel/System -H- t3. Heat Loss jJ 5' /J.jJp BTU'S 7~"-~ , 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 _LTub _ Eject _SS _ Water Other FEES: Valuation $ ? ? ,~"C:J.. c/-e) ISSUED BY ~ Permit Fee Paid $ q 8' ~ C!-& I~ Date /,p./?//9 ~ , , Park Dedication $ Final/O.P. f f() - 9'3 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE f!r 11 · ~ ADDRESS 7~~ I >-/Pi92- DA E TELEPHONE #