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HomeMy WebLinkAbout0000998-HVAC (furnace) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 00998 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ tt ~~E~ _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ la~:l; t7;f:;n ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 1l~/Q?~ f:vrn ace.. . BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit . HEATING CONTRACTOR (2 P'5 trJ (/5'5 t' k1 ;+1f ~at ~ AlC 0 Vent 0 Fuel/System ;tI~ Heat Loss fZ'f/:;-t-/41 BTU'S .76/ ~ ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _ WSoft _OF _ CBasin _Lav ----'- WC ----'--- FD r _ L Tub _OW _SP _ San. Sewer _Ur _ Storm Sewer _ Water _Sink _ Eject _SS .t':6l Other FEES, ValUatlon~. Pt:J ISSUED BY ~--- Permit Fee Paid $ Date / /~ p-t7 /" , 81?~r? Park Dedication $ Final/O.P. 11-.3 - '$$(p In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~ %~/- ~ AGENT/OWNER A ADDREsL7 /0"". .~ 8j~!/ 5"b, :9--'"5 <-5' C5 ~9 TELEPHONE # ,,~l.~ ;.o.~ ,;"". -D~'; . tJlD1.<E" '. 1P- If&:!. ~E OF ,",oR\{ "EATING CONTRACTOR FUEt;i "/ 011.. CONDITIONING SYSTEM CllllOl"Y' ' Ii' ..... DIRECt 'E"~ CON. .uRll.R CAt.CuLAn:U \l.A "0" ",,-,.'~ 'l-1.44.-.y.n:,. .'t\l M>nNC'-;:;, rtfI2- ",.C. ~/- ~ l".r. ROIlGll IN~n"A" . EST. COST 'll~.. PERMIT FEES~DATE PU /. ..MARKS ~ --- ".\4 . Suppt.. Et.EC. BASE. STEl\M ^- C VB'N't O,",NER