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HomeMy WebLinkAbout0044812-HVAC (boiler)~"P'tJ /~ CITY OF OSHKOSH N°- 44812 `" PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT --------------------------------------------------------- ADDRESS ~ ~ ~~~ ~ ~`t ~ to PLAN NO. OWNER DESIGNER USE/NATURE OF WORK-II'~-~~!// Q~' P~ U-/m/r/~ r' BUILDING CONTRACTOR Size Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ~C h / h ~ ~~c~~o /-j Heat ~ A/C ^ Vent ^ Fuel/System ~ ,~ ~ Heat Loss ~~4`T'f BTU'S ~ ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR - BT _ WH _ Disp _ WSoft - Lav _ Sh - DW _ DF - WC _ FDr - Sp _ Ur - Sink _ LTub _ Eject _ SS Other - CBasin -San. Sewer -Storm Sewer. .- Water. FEES: Valuation $ I ~~~ ~ ~ Permit Fee Paid $ ~ ~ - ~r~ Park Dedication $ ISSUED BY ~~ Date Final/O.P. !n •~~ In the pertormance of this wgrk I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ,~G~~yy~r~ ~~- Sq. Ft. # Rooms # Stories Height ._.- o rE ADDRESS-~../ / v % lr~~/i Z~ ~~ ~3~ ~f ? 7U TELEPHONE N