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Home My WebLink About0044950-HVAC 5� � � CITY OF OSHKOSH N° 44950 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �a � � `,�7� � r Cr � � �. br- PLAN NO. OWNER ;� � G��'� DESIGNER USE/NATURE OF WORK� �/ `� �G� �V�u/ 6 ��+� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit i HEATING �ONTRACTOR �r�° w e N : � Heat � A/C ❑ Vent ❑ Fuel/System _/��f Heat Loss� �h BTU'S 1 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 ' i FEES: Valuation $ � 3�' �� Permit Fee Paid $ �g� �� Park Dedication $ ISSUED BY Date ��a�g 3 Final/O.P.�=/� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE ` AGENT/OWNER DATE 4 �ADDRESS TELEPHONE� '