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0024517-HVAC (furnace)
� CITY OF OSHKOSH N° 24517 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� D L�/ �Yl/r' �fi�P PLAN NO. OWNER �1 9 �L� � �'�2 Ls / DESIGNER USE/NATURE OF WORK � l `/CG� �/�/�I.�i F� �i�/ �9 �C�S ��• BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR U °� Heat�i A/C ❑ Vent ❑ Fuel/System � G`' Heat Loss ��/�S ,r BTU'S i 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 $ ��t �� Park Dedication $ ISSUED BY � Date���Q� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� �r4�a�� �' AGENT/OWNER DATE ADDRESS TELEPHONE#