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0026698-HVAC (furnace)
� CITY OF OSHKOSH N° 26698 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � � ;/1� �"v� PLAN NO. : OWNER ��f'!�� (�"�.�! L � DESIGNER USE/NATURE OF WORK C � !� J I '' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �i'14 f/^ L`C4'��1 ��'`�-1 Heat � A/C ❑ Vent ❑ Fuel/System� u Heat Loss �S°/� � 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 $ !'y° �� Park Dedication $ ISSUED BY Date ��/�O/9� Final/O.P. i—/y - r � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE . ADDRESS /J � �-r��!� � TELEPHONE# �