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Home My WebLink About0010550-HVAC (a/c) � CITY OF OSHKOSH No 10550 `' PERMIT — APPLICATION AND RECORD . TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � / � I� � �� PLAN NO. OWNER ��v � DESIGNER USE/NATURE (�F WORK ��,�/ C.-� ,� / � lol�i=S BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATINC� ('nNTRA('TnR ��f'!�t�h �� Heat ❑ A/C � Vent ❑ Fuel/System � � � Heat Loss L �/�� BTU'S .� T�� 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 $ �� C) Permit Fee Paid $ � �� Park Dedication $ ISSUED BY �� " Date Final/O.P. l� �?� In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER ATE ADDRESS TELEPHONE#