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HomeMy WebLinkAbout1995-HVAC (furnace)~~1~ /~ CITY OF OSHKOSH N°- 44152 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ,t- r~ ------------------------------------------------- ADDRESS - ~/ ~ / /`'la P/~° ~~/ t/ PLAN NO. OWNER_ ~CL V! ~h ~.Gp DESIGNER USE/NATURE OF WORK ~t:LfJ/ Q L BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit ~~HEATING CONTRACTOR ~" _ Heat ~ A/C ^ Vent ^ Fuel/System ~~ ~ Heat Loss ~ ®' BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR - BT - WH - Disp - WSoft _ CBasin - Lav - Sh - DW - DF -San. Sewer - WC - FDr _ gp _ Ur -Storm Sewer -Sink - LTub _. Ej~ - SS _ Water Other FEES: Valuation $_ 3 ~~ • ~~ Permit Fee Paid $ ~~ • ~~ Park Dedication $ ISSUED BY Date 3 ~~~ g3~ Final/O.P. ~'~ ~ ~~~ In the pertormance ~f this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ADDRESS AGENT/OWNER ~ ~ 9 ~_ ATE TELEPHpNE M