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0014493-HVAC (boiler)
~ CITY OF OSHKOSH N° 14493 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS L ~ ~'c~ ~~ PLAN NO. OWNER ~~'G~ ~~ ~ ~~'~d6'? ~!!/~`~ DESIGN USE/NATURE OF WORK ~ ~--C~/ lQ~ ~ U'~ ~~L, f~~ /~'~ BUILDING CONTRACTOR Size Foundation Sq. Ft # Rooms # Stories Height . Class of Const. Occupancy Permit HEATING CONTRACTOR __- Cs`"Q `" ~ !~i Heat A/C ^ Vent ^ Fuel/System Heat Loss ~ BTU'S ~ 'L`? ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches Receptacles Volts Amps Circuits PLUMBING CONTRACTOR BT WH Lav Sh WC FDr -Sink LTub Other Disp DW - SP -Eject WSoft DF Ur SS CBasin -San. Sewer_ -Storm Sewer Water FEES: Valuation $ ~ ~~~. C~fl Permit Fee Paid $ ~ 7 ~/ _ ~7 © Park Dedication $ ISSUED BY Date ~% l ~~~ Final/O.P. ~ "'~8~ 8 9 In the performance of this work I agree to perform all work pursuan, ;o rules governing the described construction. SIGNATURE ADDRESS ATE TELEPHONE #