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0045238-HVAC
~~ /~ CITY OF OSHKOSH N°- 45238 `'' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~ / / K - jar ~L ttl~e''~ !~ I'r~ PLAN NO. OWNER. ~ftrt ~1e r ~©~Z~' ~` DESIGNER USE/NATURE OF WORK ~ 1~. ~ Gf /V, r i ~~/~1? ,Q,~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit EATING CONTRACTOR T C ~~ (L~i ~I ~ ~7 ~c ]w`m ~ Heat ~ A/C ~7 Vent ^ Fuel/System /~/- ~- Heat Loss BTU'S 7 ~J`~ 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 $ ~!e/~`fl Park Dedication $ p ISSUED BY Date ~/,. ~,~4~~_ Final/O.P. ~ ~ Z ~ ?~ In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ~~ DATE TELEPHONE ~ ADDRESS