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HomeMy WebLinkAbout0031279-HVAC (boiler) � CITY OF OSHKOSH N°_ 31279 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS���I�`�C�/��4� PLAN NO. OWNER�rP,.YJ`l/� ? �UZ SlcL� DESIGNER ,J �- USE/NATURE OF WORK L� O ` �. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �l�Y'r�'!2G(�j �� � Heat � A/C ❑ Vent ❑ Fuel/System �- � • Heat Loss������ BTU'S��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 $ �l�• U'� Permit Fee Paid $ �G < <�� Park Dedication $ ISSUED BY Date ld�� ��q�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � ��� AGENT/OWNER DA ADDRESS TELEPHONE M