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Home My WebLink About0047028-HVAC (new bldg & remodel of old bldg) 5/� CITY N� ^ 47028 n P OFOSHKOSH ERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS o�� j�j`. �^s�7 PLAN NO. OWNER I�t: I�G/f" (�–t U� S��S�j DESIGNER USE/NATUREnOjF W/ORK_�� I~/T'+� /V�G(/ ,�j (x,r'.�. �1_��l �� `l�� , �"J( VL y r BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ` -�' � Heat A/C Vent Fuel/System_�� Heat Loss BTU'S � � � 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 _gp _Ur _Storm Sewer —Sink _LTub _Eject _SS —Water Other FEES: Valuation $ �•� Permit Fee Paid $ �� s�� Park Dedication $ ISSUED BY Date T/S,T/95� Final/O.P. In the pertormance of this work I gree to perform all work pursuant to rules governing the described construction. /� SIGNATURE � — AGENT/OWNER A� ADDRESS � c rL�al��1 C.� � ��--��` <�lo� TELEPHONE N