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Home My WebLink About1992-HVAC (furnace) 4 /� CITY OF OSHKOSH �° 29566 `' PERMIT - APPL�ICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ��/� W/ �Tz G'/ PLAN NO. OWNER ��/'` � VQ l2��'f"'L7/�� DESIGNER USE/NATURE OF WORK �'��Q-f� ��J/"K�L� �1- /� � S BUILDING CONTRACTOR . Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATWG CONTRACTOR r/SIj1/5 C'H S IS'��9 � �L�- � Heat ❑ A/C ❑ Vent ❑ Fuel/System /�� Heat Loss ��T 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 $ ! i�� Permit Fee Paid $ ��lJ"v Park Dedication ISSUED BY Date ��'�4� Final/O.P. /� � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� 4� AGENT/OWNER 'DATE ADDRESS \ � �� TELEPHONE N