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1991-HVAC (furnace)
� CITY OF OSHKOSH N° 25172 L' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �'� p/��'S/l�'� I PLAN NO. f� r OWNER �/'IT_ �ilC O�I DESIGNER USE/NATURE OF WORK ���!Q LP� �G�/��2 .lit� ��� vlr S BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit �� HEATING CONTRACTOR (.�S�'/�'! ��� �� Heat � A/C ❑ Vent ❑ Fuel/System �. Heat Loss �'j�,��'sT BTU'S � 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 $���-U� Permit Fee Paid $ � 9° �� Park Dedication $ ISSUED BY «�"�"`�/ Date T�/�` Final/O.P. �1'_.1� -;� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �����1-��� ^ �� �� AGENT/OWNER DATE ADDRESS - � ��� ��' � /�- TELEPHONE# -