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0001156-HVAC (furnace)
/� CITY OF OSHKOSH No 01156 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG �3 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT : ! - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° ADDRESS—���•��r��,��S� � PLAN NO. OWNER /.�-�j" !i"U��,P �r' ,� DESIGNER USE/NATURE OF WORK���/�' G�=Cr�r�2��� �� ��'S'- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit EATING CONTRACTOR � Heat (� A/C ❑ Vent ❑ Fuel/System - Heat Loss ` � BTU'S a 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. � �—� � ��o In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE C -eG � � � Ce AGENT/OWNER DATE ADDRESS TELEPHONE#