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HomeMy WebLinkAbout002413-HVAC t � /� CITY OF OSHKOSH N° 22413 � PERMIT - APPLICATION AND RECORD [ � TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS ��,"�_�Ta G �S4liJ �f^� PLAN NO. �� OWNER I,L(�m �� N' I✓U' G� �/'1 S". DESIGNER USE/NATURE OF WORK�' �I�JS�G� � ��rL' � �IGiA _ /�G�'/� / /O/'J � k I � t € BUILDING CONT'RACTOR ( Size Sq. Ft. # Rooms # Stories Height f t Foundation Class of Const. Occupancy Permit � a HEATING CONTRACTOR �Ll'I'�1C�,% 1 . Heat [� A/C� Vent ❑ Fuel/System�v - Heat Loss BTU'S � �� (r 3 �� � G �LECTRIC 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 $ ���� • �� Permit Fee Paid $� �� �� Park Dedication $ ISSUED BY �ZZ=C Date ��D/Q� FinaVO.P. ri. .3'y� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE `�� /l��' �`-'"T' 0 9 AGENT/OWNER D TE ADDRESS �/5 �5 �c��.c-+ti�" /GC� � �j�� S/p TELEPHONE#