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HomeMy WebLinkAbout0027998-HVAC (furnace) � CITY OF OSHKOSH N°- 2�998 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS --- ' - ��� � � l ���LAN NO. OWNER �U,(ff��" � �C/Nk�'J2l.� �'J DESIGNER USE/NATURE OF WORK_ ����G e �vr�t Q c� ��✓ - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � HEATING CONTRACTOR d h,�_�� : Heat [� A/C ❑ Vent ❑ Fuel/System � � Heat Loss ���°/5� BTU'S �� U`�`'�� 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 $ 7��•� Permit Fee Paid $ �L� � Park Dedication $ ISSUED BY� Date "�/�/y� Final/O.P. ya`1` ��� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��� � AGENT/OW DATE �. ADDRESS TELEPHONE# .