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0007419-HVAC (furnace)
/� CITY OF OSHKOSH N� 07419 `' PERMIT - APPLICATION AND RECORD 'fYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` . ADDRESS�d� �'v �o�,� .�v� PLAN NO. OWNER���-°-(J � �j�y�/riC� l�Gt[/S DESIGNER USE/NATURE OF WORK �' � Q � �–' –� e BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR -� � Heat�A/C ❑ Vent ❑ Fuel/Sys em Heat Loss S BTU'S /4Y/, /�i�� 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 $���- �r� Permit Fee Paid $ ��- �� Park Dedication $ ISSUED BY �( � Date��✓ ��� Fina1/O.P. �`"�� S/�� In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. _ ^ SIGNATURE � AGENT/OW ER DAT ' ADDRESS ' TELEPHONE# �