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0009888-HVAC (a/c)
/� CITY OF OSHKOSH No 09888 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��;J[� GU � ,���j� PLAN NO. OWNER �e�e J ��(/,h ��^ DESIGNER USE/NATURE OF WORK��.��—�e,L�Ci �_/ � Q�°�' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height r ., Foundation Class of Const Occupancy Permit HEATING CONTRACTOR�(��/ C °� /7'�LI�,�I1 9 � S i°ct/'S � Heat ❑ A/C'� Vent ❑ Fuel/System Heat Loss�=�S.j`T� BTU'S �r� ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Voits 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 $ � � Park Dedication $ ISSUED BY Date Final/O.P. � a�� - �� In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ` � ' � A NT/OWNER D ADDRESS TELEPHONE M