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0026754-HVAC
� CITY OF OSHKOSH N° 26754 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS �U�� � �,L/�!J`�'E% PLAN NO. OWNER (/"A�iL/'` 1` � �v S�� DESIGNER USE/NATURE OF WORK_�.TI`'J-t<< �V e�/ �'�'x � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR—P//" �li/�`' �7-�'� � Heat �j A/C ❑ Vent ❑ FueVSystem -� Heat Loss BTU'S � - �� � 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 $ �U � - U'fl Permit Fee Paid $� �< <'� Park Dedication $ ISSUED BY b=�r''`�� • Date�/� �/g� Final/O.P. In the perf e of this work I agree to rfo II work pursuant to rules governing the described construction. o � SIGNATU /j ?��� AC>ENT/OWNER DATE � ADDRESS TELEPHONE#