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HomeMy WebLinkAbout0036988-HVAC (replace furnace) ,S/O � CITY OF OSHKOSH N° 36988 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �y� � fCL2l.��,�tiJ PLAN NO. OWNER�1i1. o �� �4i'�`? .�'S�! i�l7 DESIGNER USE/NATURE OF WORK�����L C e �L�i"vt Q C.� /�j�-. BUILDING CONTRACTOR ' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��HZusS�v� S � �- �lG Z�L� � 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 $ ��1�a• �� Permit Fee Paid $ ,�/ < «� Park Dedication $ ISSUED BY � Date LL�/lt��� Final/O.P. �' a0"9� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � �� Q�C�i ����� SIGNATURE ff ,��'� AGEN OWNER T DATE �. ADDRESS ` l � % z� �� ���� TELEPHONE# �