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0035066-HVAC (a/c)
.�/ CITY OF OSHK N°- 35066 � OSH : PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ✓�/ �• ��� �/ � PLAN NO. OWNER ���'I/'I/S �.(J� � �l�t �J�f/'9 DESIGNER USE/NATURE OF WORK�!��X tl�7'/ � �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �-Z_ � � Heat ❑ A/C Vent ❑ Fuel/System � Heat Loss �5°/�� BTU'S � �'�7 l� � � 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 $ ��` r�� Park Dedication $ ISSUED BY Date�����9� Final/O.P. /� -�.3-`�3 In the performan e of i work I agr to p or all rk pursuant to ules governing the described construction. SIGNAT E ��� AG`�'" ER DATE ADDRESS �� � � � .1'"a��� 1✓_ -'� ��J�� TELEPHONE# T � � (