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Home My WebLink About0045008-HVAC (furnace) 5� � CITY OF OSHKOSH N°_ 45008 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS "/�� ! � PLAN NO. OWNER�O'Nr/%� �l�I /`�'Sf'<<?� DESIGNER USE/NATURE OF WORK�f QC� �vr"�14c,; !j� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height f Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �/ � � G � Heat � A/C ❑ Vent ❑ Fuel/System T/b-, Heat Loss � S�f ts�— BTU'S G� �/`t� ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fxtures 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 �'��/ � Date �� gs FinaVO.P. � (�,�–�5 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �`� "�'�� 9 AGENT/OWNEF DATE ADDRESS l � �� 2�� 1 TELEPHONE N