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0034915-HVAC (replace furnace & add a/c)
�� 'Z_-- CITY OF OSHKO H N°- 34915 � PER - S MIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS �� � I� � /�J . PLAN NO. OWNER �r lP � � DESIGNER USE/NATURE OF WORK ���/2L� �G�"lyGG �/Q�/� ��' �' �ts� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �S�-l�t v 5���� �-�L �� Heat ❑ A/C ❑ Vent ❑ Fuel/System �� � Heat Loss �x i��.,� ����'fl ' BTU'S � G�,� Iz�n /�/ : 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 $ �y�� �� Permit Fee Paid $ � � U`� Park Dedication $ ISSUED BY �� Date ,L�����/.3 Final/O.P.�����"��_ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. T SIGNATURE \ �1�C� ��}��^���r��-._ � ' AGENT/OWNER r 4 DA ADDRESS �� �. -�' —e� � ��r ��.� ��� ��� , TELEPHONE N ��