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HomeMy WebLinkAbout0025171-HVAC (furnace) 3 �p 1 € i � CITY OF OSHKOSH N° 25171 � `' PERMIT - APPLICATION AND RECORD > f TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � ADDRESS /-� S� pR N � �`E.'_. PLAN NO. � i OWNER ;Ta n � 5!�'! /�� � DESIGNER �- USE/NATURE OF WORK Q� e U � !!C�' � �' F � � ; BUILDING CONTRACTOR ` Size Sq. Ft. # Rooms # Stories Height t 4 Foundation Class of Const. Occupancy Permit � � ; , HEATING CONTRACTOR GU S � : � t z Heat � A/C ❑ Vent ❑ Fuel/System /� Heat Loss �f�l 5 .T BTU'S � �d`� � ELECTRIC CONTRACTOR r Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps � � Fixtures Switches Receptacles Circuits + � " s � PtUMBING 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 $ � /yd• �� Permit Fee Paid $ �'�� � Park Dedication $ � ISSUED BY Date 9�4/ Final/O.P. �� �� � - '�� £ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. /j� / � �—/ SIGNATURE�� l' �-'��'°��tz� 9,/�/p�_ AGENT/OWNEFi DATE ADDRESS -��y� �-t .. i �.�� "_ /�� � � TELEPHONE#