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Home My WebLink About0003770-HVAC (a/c) ~ CITY OF OSHKOSH N2 PERMIT ~ APPLICATION AND RECORD 03770 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _f!. ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~. _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ . _ _ OWNER cP1f3!J /<4~y /fqH1//~n I{ U t"YJ b I' e r' I PLAN NO. ADDRESS DESIGNER iUcI (JI /) pi r_ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR If?ll' }If ~ Heat 0 AlC? Vent 0 Fuel/System If!:y Heat Loss. r'l/5" t/h1 BTU'S c9 "kJ n ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _Lav _ San. Sewer _WC _FOr _ L Tub _Ur _ Storm Sewer _Sink _ Eject _SS _ Water " Other FEES: Valuation. $ ~19--cY-r:fJ. o---t!J Permit Fee Paid $ ISSUED BY (;j2t!f~ Date Park Dedication $ Final/O.P. (of I~ In In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE evJ mA~ AGENT/OWNER s-//qF' 7 / ATE /' ADDRESS TELEPHONE # O,~N~R NA'IYR~ Of \-lOR\{ "~AtlNG CONtRACtOR fUel.. GAS SO\..ID CONDItIONING S"'lS'If.M CIItllNE1: "':' "B" ut~C~ .Elf[ CON. BORNER C~t.CIJ1,A-rEO \IE~~ 1,0SS~SlSTOI B~O unNG~ Ml.SC,. . tNSf. ROO,," IN ~FtN~L {p tJ f.st..C1IS~'''YI.I1,;td ....eufER"lt FIlES~. DA'If. 1.'D REKAI'''S ~ --- fORCf.D AIR RAnI AN! \\ .\~. sUP?!. . E\..EC. ~ASE. StEAM 1 C m:,l't!