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HomeMy WebLinkAbout0026788-HVAC (furnace & a/c) /� CITY OF OSHKOSH N°_ 26788 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��` � � � ��� /r v� PLAN NO. OWNER J �E'U � � �Q/' !�? �i {�f4i�7S DESIGNER USE/NATURE OF WORK � � a� � �l ��j Q G �� � � � C-- /✓ � �__ BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Q � � �� Heat � A/C � Vent ❑ Fuel/System /IL"�� Heat Loss � x'��� � BTU'S d G� � �/> �77 C-- ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps r Fixtures Switches Receptacles Circuits : PLUMBINC CONTRACTOR —BT —WH —Disp WSoft —CBasin Lav Sh DW —DF San. Sewer _WC —FDr _SP —Ur Storm Sewer —Sink —LTub —Eject —SS —Water Other i _ `• ¢ FEES: Valuation $ y - �� Permit Fee Paid $ �U - ��� Park Dedication $ ISSUED BY Date��T 7/p! Final/O.P. �- � 3 � �a In the performance of t ' work I agree perform all work pursuant to rules governing the described construction. , � SIGNATURE � �" /�' : AGENT/OWNER DA ADDRESS 7 -Z TELEPHONE#