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HomeMy WebLinkAbout0026660-HVAC (replace furance and add a/c) � CITY OF OSHKOSH N° 26660 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS .��/ � ��� �✓ S✓ � PLAN NO. OWNER ��/�/�C� �� ��h � S �t�' �-i DESIGNER USE/NATURE OF WORK ��G�' !//'�Y� �! � � !�� G � - �' : BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit �HEATING CONTRACTOR 1"'U G � � Heat � A/C [�f Vent ❑ Fuel/System /K• Heat Loss�.�<S$°7 BTU'S � �� �- �y�1��� f9-l� ELECTRIC CONTRACTOR 5���' \ � 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 ��L����� Final/O.P. �—l`�— 1� —�--- In the performance of this work I a e to perform all work pursuant to rules governing the described construction. � SIGNATURE ��' �z��/ AGENT/OWNER DATE_ � ADDRESS TELEPHONE S