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HomeMy WebLinkAbout0026756-HVAC � CITY OF OSHKOSH N° 26756 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �7` ��� LL� �� ,/�G'� PLAN NO. OWNER (1"a.�/'�'/' 1 �'f" �1/SC-f�! DESIGNER USE/NATURE OF WORK �V��� �+�L(�rh �- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit : i HEATING CONTRACTOR � "` � Heat A/C ❑ Vent ❑ Fuel/System �G Heat Loss BTU'S 7 � � 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 FEES: Valuation $ ��- L� Permit Fee Paid $ t�- �� Park Dedicatio $ ISSUED BY Date ���41 Final/O.P. � 1� In the performanc of this work I agree to pe all work pursuant to rules governing the described construction. SIGNATURE y �,,���-7��/ AGENT/OWNER DATE ADDRESS TELEPHONE M