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HomeMy WebLinkAbout0036159-HVAC (furnace) �� CITY OF OSHKOSH N° 36159 � PERMIT - APPLICATION AND RE RD CO TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���, �dd/ ��' PLAN NO. OWNER �U' !/� �L�,��� DESIGNER USE/NATURE OF WORK �(��lLL c� �Li/'' /�t CC� � / BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit r HEATING CONTRACTOR < <" N � � , Heat �A/C ❑ Vent ❑ Fuel/System /�� Heat Loss�_ �� S� BTU'S���� y 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 $ 4' � U'� ����Permit Fee Paid $ !`�- �t� Park Dedication $ ISSUED BY� Date�`'���"�93 Final/O.P. /�•���f 3 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . f SIGNATURE C� �����k'�r� AGENT/OWNER DAT ADDRESS �� � �� � f� S� r � �� � ) ` TELEPHONE# ' j