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Home My WebLink About0003145-HVAC (furnace) � _ C,ITY OF OSHKOSH No _ 03145 . PERMIT APPLICATION AND RECORD . TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS�/ �4` �� /�/rt G � PLAN NO. OWNER��/ C (1 N �j S ; DESIGNER USE/NATURE OF WORK U�KQ� �' � � �"– BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��x �� Heat � A/C ❑ Vent ❑ Fuel/System�•� Heat Loss � � < 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 $ ,�7 �• �� Permit Fee Paid $ °v-� ,Park Dedication $ �/ � ISSUED BY — Date �� Final/O.P. �o-1"-�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE j � � � AGENT/OWNER DAT . ADDRESS TELEPHONE 8 �