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HomeMy WebLinkAbout0025093-HVAC (furnace)�'. n CITY OF OSHKOSH N°_ 25093 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG '� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� ��4 �' �✓ /�7 �l-L {- PLAN NO. OWNER ��'!���'/ /y i�G�� ��/ T ��'�� DESIGNER USE/NATURE OF WORK �1�l�lL� �i-/'//Gl�= �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ����S��t�� S �i "+� �lG � Heat 'f� A/C ❑ Vent ❑ Fuel/System%�L-� Heat Loss���� BTU'S C. -'�`� �t. 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 $ �lC`t - L`C� Permit Fee Paid $ �� � �� Park Dedication $ ISSUED BY�Y��'" Date �'1,���� Final/O.P. /�' a 3 - 9/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE � �L,L� AGENT/OWNER DATE �� ADDRESS \ `�� �J f �� v� TELEPHONE#