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0029037-HVAC (a/c)
CITY OF OSHKOSH N2 29037 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZON ING FLOOD P O PLAIN HEIGHT ADDRESS 1 Aia' PD/ e r PLAN NO. OWNER Lv JJ1 i ,d Ia DESIGNER USE /NATURE OF WORK b illll BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR I 'F l /'©o/'c- t-S Heat A/C Dip Vent Fuel /System Heat Loss t c/31 BTU'S �h iG 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 III V FEES: Valuation fu cf yr two Permit Fee Paid 11-12 Park Dedication ISSUED BY Date b /1/92— Final /O.P. 9/9� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE fit' 6/5/9 AGENT /OWNER DATE ADDRESS /3D 6 X 144 /9,eim t 4,c rc5 a--3/ `5;6 9 9 TELEPHONE