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HomeMy WebLinkAbout0019849-HVAC (furnace) � CITY OF OSHKOSH N°_ 19849 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2 ' c.v i 5'� ADDRESS J�� � PLAN NO. � .-,. OWNER / !� G GZ ��/ �J r'� �� G�/ DESIGNER USE/NATURE OF WORK �'��/� t � � � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit d HEATING CONTRACTOR 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 $� �f • ��ermit Fee Paid $ � 3 t � Park Dedication $ ISSUED BY i Date d � Final/O.P. " a�D '" /� In the performance of this work I agree to p rform all work pursuant to rules governing the described construction. SIGNATURE � O AGEN /OWNEF ATE � . t� / /� ADDRESS J % �� � � 1� � � TELEPHONE# ,