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0008620-HVAC (add a/c)
/� CITY OF OSHKOSH N° 08620 `' PERMIT - APPLICATION AND RECORD � TYPE: BLDG ❑ HTG '� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS � ��� �/�S� S I ' PLAN NO. OWNER �/ �-e`� �P l��i�'�`'' DESIGNER USE/NATURE OF WORK ��'''�1'�1 F�/C� ��� S BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR — � Heat ❑ A/C� Vent ❑ Fuel/System �� Heat Loss ��(�S� BTU'S -� � 4j 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 $ ���7_. �J`'�' Permit Fee Paid $ !�/1 -�� Park Dedication $ ISSUED BY� � �. Date l/�q�� � Final/O.P. /���"gF In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE �� W Q AGENT/OWNER DA E � ADDRESS TELEPHONE#