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HomeMy WebLinkAbout1995-HVAC (furnace & a/c)S~°~ ~ CITY OF OSHKOSH N°- 4717.6 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS 9/ ~ /7ai'`o~ ~y~Jg PLAN NO. OWNER .) ~~UP_ 1.1~/~`j DESIGNER USE/NATURE OF WORK G BUILDING CONTRACTOR Size Sq. Ft. # Rooms Foundation # Stories Height Class of Const. Occupancy Permit HEATING Heat ~ A/C [f~ Vent ^ Fuel/System ,/~_ ~ Heat Loss-,~~ ~ ~ +~ BTU'S /~• UD`D 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 ._ SP _ Ur -Storm Sewer -Sink _ LTub -Eject _ SS _ Water Other FEES: Valuation $_ ~~~~ ~fl Permit Fee Paid $ ~y~ ~ Park Dedication $ ISSUED BY Date ~/ /~~ Final/O.P. _ I J~ ~ / In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~1~O~~C~ ~'eA~-~h/' l~-~_~5~~ 9 ~- r AGENT/OWNER DATE ADDRESS \ ~ ~ ~ ,~~~ ~ ~ ~~ TELEPHONE ~