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0005418-HVAC (furnace)
� CITY OF OSHKOSH N° 05418 `' PERMIT - APPLICATION AND RECORD TYPE: w BLDG ❑ HTG [�ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ` - - - - - - - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -�- j,,/ /� � '} 4 ADDRESS "� �� w - ��/� S Y � PLAN NO. ; OWNER �'^ G�'! ! (� ^ dOJ� DESIGNER USElNATURE OF WORK / G '- I�' G � � � �J { BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Q S � � Heat� A/C ❑ Vent ❑ Fuel/System `� Heat Loss '� , � BTU'S p�� I � ;/� 3 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 $�L° �� Park Dedication $ ISSUED BY Date �� � Final/O.P. � - a 3 '8 7 In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE ��'���� ����-"t� O O AGENT/OWNER ATE � ' ADDRESS «3�• �• ✓���y,-�v�r, Q S.ri�ssy TELEPHONE#