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HomeMy WebLinkAbout0048004-HVAC (furance) 5� CITY OF OSHKOSH N°- " 48004 � PERIIAIT — APPLI ATION AND RECORD C TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS U� � /^ � ��Ua�U' PLAN NO. OWNER ��(2—�� //� -ri DESIGNER USE/NATURE OF WORK / �� Q �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING G=ONTRACTOR �l"'e�`� h/'�v/?/9�/^ , � Heat [� A/C ❑ Vent ❑ Fuel/System c �G� Heat Loss �1°f'���` BTU'S v 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 $,���� Park Dedication $ ISSUED BY Date � 9�/ Final/O.P. In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. . SIGNATURE � ` � � AGENT/OWNER DATE ADDRESS TELEPHONE�