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HomeMy WebLinkAbout0009210-HVAC (a/c) � CITY OF OSHKOSH No 09210 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC �PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �' '� W. ��� ��--- ADDRESS � PLAN NO. � . OWNER DESIGNER USE/NATURE OF WORK ��IC_ BUILDING CON�'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR �5��-I- t1� 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 $ r • � Permit Fee Paid $ �"• � Park Dedication $ ISSUED BY Date �—� �` —�� Final/O.P. �—� � �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. J'�.. SIGNATURE � / �C ' ��'� �� AGENT/OWNER DATE � ADDRESS TELEPHONE# PERMIT NO. l V ` � . APPL. DATE � � � ELEC. CONTR. -C �-�t: � � OWNER ADDRESS - w ' � � NATURE OF WORK EC. SERV. NEW CHANGE TEN�. D C. TYPE VOLTS ANiPS FIX' S SW'S RECEPT'S CIRC'S APPL ANCES SIGNS INSP. ROU IN SERVICE F 7'�?. EST. COST PERMIT FEE �� D TE PD '��- RE RKS