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Home My WebLink About0030861-HVAC (a/c) � CITY OF OSHKOSH N°_ 30861 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS {! �� L(/ ��,!!'� �'!��' PLAN NO. ' �- � OWNER /��—�j`'/'� DESIGNER USE/NATURE OF WORK____��5� /�/C �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit �HEATING CONTRACTOR �� f��/`�y /r� Heat ❑ A/C � Vent ❑ Fuel/System ��C� Heat Loss�� %f T BTU'S � `�h �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 $ ��(�b- �O Permit Fee Paid $ ��-� �� Park Dedication $ ISSUED BY �i�'" Date ��9'L- Final/O.P.�� ra��"�a In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 9�1�.'2�`1L NT/OWNER �� DATE ADDRESS TELEPHONE� '