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HomeMy WebLinkAbout0036372-HVAC (furnace)/~~ /~'~ CITY OF OSHKOSH N° 36372 `-' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS-;L! ~! PLAN NO. ~, -- OWNER__ SQ (? Gf5/ ~(JL/` ~~`Ql~l DESIGNER USE/NATURE OF WORK (~C~Y1/C~l~ /`~(~~Q'~ P _l~'Y' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height _ Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR L~- -C . /~! ~' ~'' /'~i ~`l per. ~~ Heat ~i A/C ^ Vent ^ Fuel/System ~ ~ Heat Loss ~}°/~~/ _ BTU'S l~~ ~`~ ELECTRIC CONTRACTOR Electric Senn. New ^ Change ^ Temp ^ Type Fixtures Switches Receptacles Volts Amps Circuits PLUMBING CONTRACTOR - BT _ WH _ Disp _ WSoft _ CBasin - Lav _ Sh _ DW _ DF _ San. Sewer - WC - FDr _ SP _ Ur _ Storm Sewer -Sink _ LTub _ Eject SS _ Water Other FEES: Valuation $ ~~ ~~ - (J!~ Permit Fee Paid $ ~~ ~ ~~ Park Dedication ISSUED BY ~ Date ~8~~9 Final/O.P. In the performance of this, work I agree t~ perform atl work pursuant to rules governing the described construction SIGNATUR~ V '1l 1 "~ ~ ~, ~~ AGENT/OWNER ~ /.~ DATE ~~ ~' 3~oa TELEPHONE ~