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HomeMy WebLinkAbout0025353-HVAC (furnace) � CITY OF OSHKOSH N° 25353 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS ( � � 7 S G �i 0 O / �(/� PLAN NO. OWNER_�e� P l�-C !r �` Z� DESIGNER USE/NATURE OF WORK ! Ce n L�c � .� BUILDING CON��RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit fj� HEATING CONTRACTOR Co�t d0�1 Ta� Ca� �j�� �h L J° t C� Heat � A/C ❑ Vent ❑ Fuel/System /�-� Heat Loss�C/ i� BTU'S 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 g!��G/�/ Final/O.P. `�-' a4 � �'I In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � 4 �4,���_ ENT/OWNER DATE � ADDRESS TELEPHONE# �