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0043035-HVAC (furance)
��� No � 43035 � CITY OF OSHKOSH : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I��p��(LL? U�� PLAN NO. OWNER !� �_�����,�'J/����'C/� S�C/� DESIGNER USE/NATURE OF WORK�LLQ �- � /—"r/f"!2/i �� ' BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height . Foundation Class of Const. Occupancy Permit HFATW[� C(�NTRACTC�R !1 Sf'/!(LS' -�,5�/il �S �-i '`� ���� Heat � A/C ❑ Vent ❑ Fuel/System—�L(�-� Heat Loss.��'��,� BTU'S 1�� 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 $ �� �� Park Dedication $ ISSUED BY �--- Date ����`�`"�9�� Final/O.P. C � � p ��� In the performance of this work I agree to pertorm ali work pursuant to rules governing the described construction. �. ` SIGNATURE �� ` _� AGENT/OWNE DA � ADDRESS ` � � �'3 �" �� �i� � TELEPHONE M