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0009615-HVAC (furnace)
� _ CITY OF OSHKOSH No 09615 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG�EC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � ''�✓. �� � � PLAN NO. OWNER �I—_� �1 G Wl e � ��1��� DESIGNER USE/NATURE OF WORK � �\ - � �� � � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �"�0' `L � �° Heat ❑ A/C ❑ Vent ❑ Fue/System � � Heat Loss 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 OQ FEES: Valuation $ � r it F aid $ � Park Dedication $ �—� ISSUED BY Date � � � ~ Final/O.P. In the performance f this work I agree to p rm all work pursuant to rules governing the described construction. . SIGNATURE � AGENT/OWNER DATE ADDRESS ''7��1a`I �, �/ l� I�(,�P - � �S/1�(� ��'7w� �� '�'7'��� f ���cS – ?`�5�'� TELEPHONE#