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HomeMy WebLinkAbout0014781-HVAC (furnace & a/c) � CITY OF OSHKOSH N° 14781 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � ��f�' �17 yC G/` � PLAN NO. OWNER ����/� �I^ �/ U Lf` S DESIGNER USE/NATURE OF WORK ¢« �G�'/7 .lr�E � J� �7�"�� ,�� BUILDING CONI�RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR�h /� �1 � ; � _.. Heat'� A/C � Vent ❑ FueUSystem - � Heat Loss L- Tl.,�� BTU'S � � ' ��,��-tD�� �/�_ : 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 $ � � C` � Y' Permit Fee Paid $ ��� `�� Park Dedication $ ISSUED BY Date � Final/O.P. � '�9'89 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �' � AGENT/OWNER DATE � ADDRESS��F� L� S �� ��� ����5 - �II� TELEPHONE# �