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HomeMy WebLinkAbout0015793-HVAC (boiler)~ CITY OF OSHKOSH N° .15793 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~ 7 C t~~'' !' `~ ~ / ' PLAN NO. OWNER ~ ~ ~/ O , ~~ . j ~© ~"~Cc? / ,>~ ~i DES USE/NATURE OF WORK A'E~C,~// BUILDING CONTRACTOR Size Foundation Disp DW SP Eject Sq. Ft. # Rooms HEATING CONTRACTOR ~ ~/ ~ l~/,C/~ Z ~ Heat A/C ^ Vent ^ Fuel/System /1[ - ~~ Heat Loss ~~~ BTU'S 2 /~~- ~~j ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Lav Sh WC FDr -Sink LTub Other # Stories Height . Class of Const. Occupancy Permit WSoft DF Ur SS CBasin -San. Sewer_ Storm Sewer Water FEES: Valuation $ ~ . G'~ Permit Fee Paid $ ~7~ L~ Park Dedication $ ISSUED BY Date ,~~,>/~~ Final/O.P. ~-r?o-f~~ In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUF _ O DATE ADDRESS TELEPHONE #