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Home My WebLink About0013472-HVAC (furance & a/c) � CITY OF OSHKOSH No 13472 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS �� /" � ��(�� PLAN NO. OWNER .T r /" � /�G/ � DESIGNER USE/NATURE OF WORK r` ° BUILDING CONTRACTOR : Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��S �' �C-- He�t [� A/C [�Q Vent ❑ Fuel/System '�a- � ` Heat Loss T_�d�F✓ BTU'S �d �� ` ,� �� 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 $ ��✓�� j Permit Fee Paid $ � �� Park Dedication $ ISSUED BY Date l Final/O.P. � 'S —��'f In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATl1RE � �'` �/9/0'/ A ENT/OWNER � DATE � ADDRESS ` \ � � �� TELEPHONE�