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HomeMy WebLinkAbout0033959-HVAC (furnace) � ` " � CITY OF OSHKOSH N° 33959 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS ��,��� , � �� PLAN NO. : OWNER �<'YJ /r ��L /�%'� DESIGNER USE/NATURE OF WORK f/.��'"��� � l L/f'!'1�� �'- -� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit • HEATING CONTRACTOR `� � -T Heat [�'/ A/C ❑ Vent ❑ Fuel/System � � Heat �oss �}Gl��/ BTU'S �%`�`� ti 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 $ �y��-�G Permit Fee Paid $ 4���� Park Dedication $ ISSUED BY ��x� Date�//��Q.� Final/O.P. �'��� 73 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. r SIGNATURE 5����9� AGENT/OWNER 7�DATE - ADDRESS TELEPHONE#