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0022695-HVAC (replace furnace)
/� CITY OF OSHKOSH N° 22695 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � ��� =/ l`-�����" PLAN NO. OWNER—� 41������CGr`��L�r �,//�{!� DESIGNER USE/NATURE OF WORK�l�« f !/�Y1�G� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit r HEATING CONTRACTOR �S'hZG'9����J ✓ �"� � ���-- Heat � A/C ❑ Vent ❑ Fuel/System /�L� � Heat Loss v�� BTU'S 7,���� . 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 $ �71�� • r� Permit Fee Paid $ ����� Park Dedication $ ISSUED BY � Date ����Q� Final/O.P. � ��5 3�"� J In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. : SIGNATURE V � \�N�--'� �C-,�'�'�-�'�"�.�-. ��,7'��9/ AGENT/OWN DATE ADDRESS ` � � � � � � � ��� TELEPHONE# '