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Home My WebLink About0006566-HVAC (furnace) /� CITY OF OSHKOSH N°_ 06566 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '7`�1 ��• I��I�I PLAN NO. OWNER • � � � DESIGNER USE/NATURE OF WORK��17��("� /�(/!"/'I QL>� � „��__ , .-T BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR < s � � Heat �A/C ❑ Vent ❑ FueVSystem� � Heat Loss � jC�� BTU'S � �v�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 $ ,�! • G� Park Dedication $ ISSUED BY Date Final/O.P. �f"a✓`'�g� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� `�"�"` ��— NT/OWNER DAT � ADDRESS TELEPHONE#