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HomeMy WebLinkAbout0039590-HVAC CITY OF OSHKOSH No 39590 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG p ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS /2 ,7 W14-e. A LI &J PLAN NO. OWNER g !1 5 copy- DESIGNER USE /NATURE OF WORK fr!A ea' y syt..o BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR 6 r e[..[' er 11- e? Heat t p A/C Vent Fuel /System /I es Heat Loss i e, BTU'S 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 .-Or Permit Fee Paid oiL e cc° Park Dedication ISSUED BY Date 6 7 4 9 c Final /O.P. i'0 In the performance o this work I agree to perform all work pursuant to rules governing the described construction. ,,1 C SIGNATURE i' YI19y A T /OWNER A ADDRESS TELEPHONE