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0043578-HVAC (furnace)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 67 :l- N! - 43578 TYPE: BLDG 0 HTG JZP ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT . . - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS. j(J-tJ U/~~~'.eld . >> C C/ I" ,0.- 1-7 /1112 /JfZ'7 h1 e;;J/ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK /f..Y~/1-.;c. _ N&v t1.ff/Ce:-- BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR .(J,i1~dn 10 'Ia! a 111. cf;9rf .Jhe- t Heat IlP AlC ~ Vent [&l Fuel/System fJ... tR~ Heat LOSS& o/p BTU'S IJs Ff r /1" ~ ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _Sink Other _ Eject _Ur __SS _ San. Sewer _ Storm Sewer _ Water _WC .I / FEES: Valuation $ -6 ~f) J{6 r c. ~ Permit Fee Paid $ ~ 7 ~ · j-o .It' ISSUED BY ~... Date,;7/?/7~ 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~~WNER :7/J?/?r DATE ADDRESS TELEPHONE /I \L~~~._._ ______...__....