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Home My WebLink About0025165-HVAC (furnace) � CITY OF OSHKOSH N°_ 25165 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS (! y! « ��? �� PLAN NO. OWNER .� O � �!/ r'i`/�/^ DESIGNER USE/NATURE OF WORK 1�//QC t-° �v�"'�20�� P� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR L'GS��/.5��° ' � Heat A/C ❑ Vent ❑ FueUSystem /V GQ Heat Loss �}°/�$'1' BTU'S `� � ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits . PLUMBING CONTRACTOR 1 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 $ � �`��C � Permit Fee Paid $ %�� Park Dedication $ ` � ISSUED BY �, Date��Q� Final/O.P. �� 7 � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE `— "� ��r . AGENT/OWNER DATE ADDRESS � YLj /G�Z-zG-�%� � �3j--- %•tE �� i� TELEPHONE# �