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Home My WebLink About0016764-HVAC (furnace) � CITY OF OSHKOSH N° 16764 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� -�-' • ��/�7��`/ � � PLAN NO. . OWNER Ll °ir a � �/ Z--� DESIGNER USE/NATURE OF WORK -� / �" BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �P 4 —�-�`1�✓� 2°`' 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 $;�'� �d Park Dedication $ ISSUED BY " ��'�% Date 1��l/�9 Final/O.P. �`v'Z�� Ci In the performance of this work I agree all work pursuant to rules governing the described construction. s SIGNATURE AGENT/OWNER �A � ADDRESS TELEPHONE# .