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HomeMy WebLinkAbout0004424-HVAC (furnace & add a/c) � CITY OF OSHKOSH N° 04424 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��o�_,��U /I L�1^���• PLAN NO. OWNER CJ"Lo0/`AC�i �/����j/' DESIGNER 1 USE/NATURE OF WORK � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR�Q��I1U�'-r�'P_U/ , ,�l Heat� A/C� Vent ❑ Fuel/System Heat Loss �� BTU'S �� / r � � � EL�CTRIC 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 $ v�/ - C� Permit Fee Paid $ �,� �� Park Dedication $ ISSUED BY � Date FinaVO.P. 9" �D'�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNAT � AGENT/OWNER D E ADDRESS TELEPHONE#