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HomeMy WebLinkAbout0027999-HVAC (a/c) /� CITY OF OSHKOSH N° 27999 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �,.�`G L!�- r,���/t�" /SZ-(/'-L PLAN NO. OWNER I/i�Y` 9 i / � U f� ,lt a �v' DESIGNER USE/NATURE OF WORK GT ��G �T , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � HEATING CONTRACTOR �L'����° : .,-- Heat ❑ A/C �7 Vent ❑ Fuel/System �/� � Heat Loss t?��f5� BTU'S � �h ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps f 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 $ ���- � Permit Fee Paid $ �� � "`d Park Dedication $ ISSUED BY �� Date `��G ,9� Finai/O.P. `l" �J– ��a' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � Q AGEN NER ATE : ADDRESS TELEPHONE# �