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Home My WebLink About0021937-HVAC � CITY OF OSHKOSH N° 21937 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS p ?�� !�M-°w✓�O/"'� PLAN NO. OWNER /'t � DESIGNER USE/NATURE OF WORK� ��T/�� G �,�/�1 � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��'� L�� I\d ��r� �'O��? f'� 62�- � Heat ❑ A/C ❑ Vent ❑ Fuel/System /�-C Heat Loss_� / '� BTU'S �7�lJ`D`d � EI iECTRIC 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 $ d`��• �� Permit Fee Paid $ 3�• �� Park Dedication $ ISSUED BY \ '�'�" � Date ��' ��/ p9 Final/O.P. /2-f 3- -�jt� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE `�' �� a� QO A /OWNER DATE . ADDRESS TELEPHONE# -