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Home My WebLink About1991-HVAC (furnace & a/c) (2) CITY OF OSHKOSH N° 23898 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� y �� '1' PLAN NO. OWNER� � ��/C. >'%" / DESIGNER �' i,.�/�+ /� /� USE/NATURE OF WORK r�y'/� � r" J �� /?�/E- N _�'!'/� � �(/` E'> BUILDING CON7'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATWG CONTRACTOR �J5 �l:yl ��' t ✓7itG �� Heat � A/C � Vent ❑ Fuel/System �� Heat Loss � }`� `��_ BTU'S �p�l//`�/�� -- `�"�' /2 ':�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 —SP —Ur —Storm Sewer _Sink LTub —Eject —SS —Water Other FEES: Valuation $ 3 n// /.��-G� Permit Fee Paid $ yy� �� Park Dedication $ ISSUED BY �� Date��g� Pinal/O.P. � '��' - y� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �-�"�`� ��f � 9 AGENT/OWNEF ATE ADDRESS �n � ��2-�� `��"' 7�G .�/ TELEPHONE# APPL. DATE_ G� l� � _PERMIT IdO. ��,�'�(� ADDRESS /r7� / �/ �i�/�?r'rL� - � OIdNE R ti�C�l �j� NATURE OF WORK ��T.��Q�� '"c'i'�/hC/G -�' � ��C � � �� ,�/ � ;IEATING CONTRACTOR Lri'i �Oia9 /T/,�} FUEL: ,AS : OIL E EC ; SOLAR SOLID CONDiTLONING " ORCED AIR N.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. `�IC VENT CHIMNEY: ' 6=�'� DIRECT VENT CON.BURNER CALCULATED HF.AT LOSS��;;� SYSTEM BTU RATINGj< <��c3 � MISC. �` Tci� /G� �� INSP. ROUGH IGN � FINAL - /G �/ EST. COST ��/ �%`p % �L9 PERMIT FEES Hy� �"� DATE PD � !f' REMARKS ��