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Home My WebLink About0004639-HVAC (add a/c) � CITY OF OSHKOSH N° 04639 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS !��"L 0�.�_�. PLAN NO. OWNER_ l�, L h �� /�0�� DESIGNER USE/NATURE OF WORK r BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height ' Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C �Vent ❑ Fuel/System - Heat Loss ��' J` 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 $ � �/`� Permit Fee Paid $ �Q- 4''f� Park Dedication $ ISSUED BY Date 0 Final/O.P. —7- �-d 'fl`� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. , SIGNATUR AGENT/OWNER DA'� �.. ADDRESS TELEPHONE# �