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0045972-HVAC (a/c)
�/ n CITY OF OSHKOSH N°_ 45972 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS U `�,�T L°��l�r/ PLAN NO. OWNER ��! DESIGNER USE/NATURE OF WORK��?7 G 'BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR�r°��—�� �� / G�� � �j Heat ❑ A/C (� Vent ❑ Fuel/System Heat Loss,��°���� BTU'S «s;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 $ 7��- ��'`'� Permit Fee Paid $.1'h � ��� Park Dedication $ ISSUED BY Date 2�/3/9,� Final/O.P. �"f�"`1� In the performance of this work 1 agree to pe ork pursuant to rules governing the described construction. G��yC� � �`"�"_` / SIGNATURE - AG WNER DA � ADDRESS �� � ���0�»� � TELEPHONE*