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HomeMy WebLinkAbout0003974-HVAC (replace furance & add a/c) � CITY OF OSHKOSH No 03974 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG`}� ELEC ❑ PLBG ❑ SIGN ❑ ZONING F�OOD PLAIN HEIGHT - - - - - - - - - - - - - - -j'- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �b-,/�_�+ f �C/ ,q !? C7 l',� PLAN NO. OWNER �Gd/'!��t �_ 1 � �C Lo r DESIGNER ' USE/NATURE OF WORK 4�o�t—�/�'A �� �� � �,[.- �' S� � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACT�R �F P CL— ������� h � Heat �A/C � Vent ❑ Fuel/System Heat Loss ` � � BTU'S �S��D �-- �- �� �/c.._ 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 $ Permit Fee Paid $ ' � U'� Park Dedication $ ISSUED BY Date ���,� Final/O.P. ��(`►� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE ��-- �_ �v C../ � � AGENT/OWNER pq ADDRESS TELEPHONE#