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HomeMy WebLinkAbout0001020-HVAC (furnace) /� CITY OF OSHKOSH No _ 01020 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - i - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ✓ � / V" . � �� �/ PLAN NO. OWNER �(���^ DESIGNER USE/NATURE OF WORK ��•����/ � �l�J�/'t Gy C �- ' / BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ����/ � � �=�Tf1 � J� 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 $ �d• �� Permit Fee Paid $ � L� Park Dedication $ ISSUED BY `'�� -� Date �"� Final/O.P. 1 � " S-��-, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . SIGNATURE � Z AGENT/OWNER DAT ADDRESS TELEPHONE#