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HomeMy WebLinkAbout0032775-HVAC (replace furnace & add a/c) �� /� CITY OF OSHKOSH N° 32775 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ; ADDRESS �� -/Z� �� �'l/J G'�U Cl PLAN NO. I i OWNER �l'! �Z A �O/�/ /I S� � DESIGNER ` USE/NATURE OF WORK L�L L �C//^f1QG� � /���� G' ' BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR G S � � � Heat � A/C [� Vent ❑ Fuel/System –� Heat Loss ���5/ BTU'S �vv'� �� �h �"� lELECTRIC 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 $ � � �r� � Park Dedication $ ISSUED BY� � Date�"�l�` g� Final/O.P. � ��� 9�3 In the performance of this work I agree t erform all work pursuant to rules governing the described construction. �►..�� �- ��y SIGNATURE , AGENT/OWNER DATE � ADDRESS TELEPHONE�