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Home My WebLink About0015840-HVAC (furnace) � _ CITY OF OSHKOSH N° 15840 . � PERMIT APPLICATION AND RECORD . TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �T � Gf/ ��/� �rT"r�� PLAN NO. , OWNER—� f �'�i`� � �Gl�!/s'hs�' !'J DESIGNER USE/NATURE OF WORK E v�'N 4� ,�_ �'_/� % �. BUILDING CON�'"RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �' � � c �_ ` Heat � A/C ❑ Vent ❑ Fuel/System � Heat Loss ��'FS'� 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 $ ��- �� Permit Fee Paid $_ `�� ° C�` Park Dedication $ ISSUED BY Date �O�/�_ Final/O.P. l~07�'g� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE p �� AGENT/OWNE DATE ADDRESS � (/� �� TELEPHONE#