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Home My WebLink About0011411-HVAC (furnace) � CITY OF OSHKOSH No 11411 : `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / D�" �' ! h~/// � +' � PLAN NO. �OWNER � �"i/Gl�'! ��i!'l��dS/l/I DESIGNER ' USE/NATURE OF WORK /�GP�UM�'d��'-� a� ` ` �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit 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 $ ��• �� Permit Fee Paid $ � �- �� Park Dedication ISSUED BY�� "2 � t�� ` Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � / � SIGNATURE � AGENLOWNER DA ADDRESS / �� Sy�� S��j� TELEPHONE N �