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HomeMy WebLinkAbout0033089-HVAC (furnace) ���'� � CITY OF OSHKOSH N° 33089 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG �1 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESSTO�T(�gQ��� ' PLAN NO. / OWNER .�O /�/ �( [,L/� DESIGNER � �% USE/NATURE OF WORK dC� CCL P ,�r/rKlt C E' � ✓ � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height , Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR L�.�j'�z`'c[/Y�n-�_��'OO'!��1 C�jGh/���7'O, �/ l Heat � A/C ❑ Vent ❑ Fuel/System /���° - Heat Loss�\��f� BTU'S�'�1 . � � 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 $ ��- �b Permit Fee Paid $ ,�✓�'< <� Park Dedication $ ISSUED BY Date�,T� ��� Final/O.P. n ' ^�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �� ��y� AG / NER DATE ADDRESS TELEPHONE#