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0024567-HVAC (a/c)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 24567 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG o SIGN 0 ZONING FLOOD PLAIN HEIGHT .... --..........-.. ---...... --.......-.. --..-..-.... -- --...... --- -- ---...- --.. --.. --...-.. -- --........ OWNER ?1.? IkrJ~ht7rl//eU/ fRt"vka /'lei fA:; u7tJ? /-;7 PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK doIJ;/ /7-1 C--- 5';:: BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit t HEATING CONTRACTOR Lt..l. e'7 I~ v / . Heat 0 AlC ~ Vent 0 Fuel/System iI-!:/- y~:::s;- -'T Heat Loss t::'); I 1 BTU'S ?-- ~ '-0 I-? ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY / ff'-#P ...0-0 ~-/ / Permit Fee Paid $ :;..? t: v-e:; ~' Date 7/Jl.9/Q / / ~ Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE i ~ . ) ."'U:-'" /tfl~~ - 'G~' 7/1- 9/~ DATE ADDRESS TELEPHONE #