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HomeMy WebLinkAboutHVAC J� OCITY OF OSHKOSH N� �!��41 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - • - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �-��J `� Y �� �V U�'�� � y� PLAN NO. OWNER �� � f� � /� � DESIGNER USE/NATUREOFWORK � �'���� � ��t'�t-` L,/�'��,_j` BUILDING CONTRACTOR � Size Sq. Ft. # Rooms # Stories Height , Foundation Class of Const. Occupancy Permit HEATWG CONTRACTOR ��i" �C!�- /" � Heat � A/C ❑ Vent ❑ Fuel/System �•- �'- Heat Loss '" �'�t� BTU'S �� 5Tz'!P� 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 $ > J� �X� '�� Park Dedication $ � ISSUED BV '�,-j�'" Date �l`%,y Final/O.P. In the performance of ihis work I agre to perform all work pursuant to rules governing the described construction. SIGNATURE �, , " ��' �y AGENLOWNER DATE ADDRESS ��`-"' ' TELEPHONE k