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Home My WebLink About0048212-HVAC (furnace) � CITY OF OSHKOSH N°- 48212 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �✓� � /� �v� PLAN NO. OWNER ��`1�'7�5� �Cf1/�SC�f DESIGNER USE/NATURE OF WORK � Lff� �f�/"`1�il�-- BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR�/ !2(°rS�!'�S UG�i �f �?"''� Q` C/�- : � 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 $ 3�� Park Dedication $ ISSUED BY Date��/�� Final/O.P. �a � � � J �I�.J In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. SIGNATURE �' �"`� � �� AGENT/OWNER DATE : ADDRESS I �o�t I ZUW!} ST. ��2(0- �Q`�U TELEPHONE N