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0008906-HVAC (furnace & a/c)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 08906 TYPE: BLDG 0 HTG J150 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - ,. - - - - - - - - - - - - - - - - -,- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS P;Z J- J fk Pn/ '-,I ~ I? OWNERJarT S/cr'n ~r-r PLAN NO. DESIGNER USE/NATURE OF WORK_rLtfk~ Fvrn-Qe~ V- Alclcl fJ-/e- 5rf?~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit Foundation ~ HEATING CONTRACTOR C- Heat ~ Ale 0/ Vent 0 C- Heat Loss F ~/'5V BTU'S "0 ~ q :;-. ~h I4/C-- ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Rf:lceptacles Circuits PLUMBING CONTRACTOR --cSink _FOr _ LTub _OW _SP _ WSoft _OF _Ur _ CBasin _BT _WH _Sh _Disp _Lav ~ _ San. Sewer _ Eject _SS _ Storm Sewer _ Water ~WC , Other FEES, ValuaUon $ !Z - ~ Penn" Fee Paid $ ISSUED BY if!R - Date I "30. cn3' '( C,/~(J?F Park Dedication $ Final/O.P. B-I:2 - 88 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~d~~ AGENT/OWNER {;/PI)r?? / DATi ;ZJ)~67cn TELEPHONE # ADDRESS /~s W/ Ml( c&C/ ---- --- ,-~.-.-- ----.- ..-' ~ It. . . .. ~Eron~ JO.~Af~L. 1l~-rE . M)Dl~$SS ~ ~ lilAtURf, Q"F 'WoRt<. ~ Rth"TllilG COlil'IRAC'fOR ~1..~ BOIl. C0lI1l1~101.nIlC \f!OllCE1l ~111 \\;11 .ELEC, Bt.SE s-rE1>!' Sys-rEll cj<AV1Tf S1lP~LEMEtfIAJl'l I" ColI1l. SOLID owtltR C\l1Mt1E~: ..~' ""';'" D1""C~ 'JEtfI COli. "11RNE" etoLC1lL~~EllIlEA~ 1flSS~SYS-rEll B~llj<A~ll1~ MISC. tllS1'. Rl1lIC\l tll . ___=..",<;-tllfJ. ES~. cos-l4, ~EPYil-~ %ES ~ ~ ""lltoR"" --r-- -