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0024433-HVAC (furnace)
/� CITY OF OSHKOSH N°_ 24433 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS l6� I.�/ ��!/Y/ /T"v� PLAN NO. OWNER /�-�f'�S� �/!,�`/� DESIGNER USE/NATURE OF WORK C �;�'�t, BUILDING CON7'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR_Lli �1104J '�J/?�� /�r/' � Heat � A/C ❑ Vent ❑ Fuel/System � G Heat Loss �%b i�S r BTU'S 7�� C� 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 $ �lr���D Permit Fee Paid $ �- �� Park Dedication $ ISSUED BY Date 7�j,��'�1� Final/O.P. �–I�--c// In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �. ` � AGENT/OWNER AT ADDRESS TELEPHONE#