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Home My WebLink About0019338-HVAC (a/c) � CITY OF OSHKOSH N° 19338 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � - � PLAN NO. OWNER _ � ' DESIGNER USE/NATURE OF WORK ,�/� BUILDING CONTRACTOR 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 C�NTRACTOR �G � 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 $ • L� Permit Fee Paid $ /�� Park Dedication $ ISSUED BY Date ` —�l �� Final/O.P. ` ~��'-�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �' SIGNATURE ��. ��zc .�.� . - — � AGENT/OWNEA DATE ADDRESS TELEPHONE# � � � ! �� . APP . DATE W � � ' � � � PERMIT 1�T0. � � ELEC. CONTk. � � � '� , . �-�* i � OWNER l n�iz 'z ` � n� � u� -- �-,��', ` ADDRESS ��S l - � NATURE OF WORK /l /� _ � � � " F.T_,EC SERV NEW CHANGE TEMP. ; � D C. TYPE VOLTS AMPS � FIX' S SW' S RECEPT' S CIRC' S � � APPLIANCES _ � � � - f � SI�GNS � � INSP ROUGHIN S ERVI CE F INAL '�- - �' � � EST COST I C�C� P�'RMIT FEE/C�.— DATE PD.'7��'�D � REMARKS _ _ _ _ __ � � - - � �