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Home My WebLink AboutHVAC CITY OF OSHKOSH N° 26387 n PERMIT - APPLICATION AND RECORD TVPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PU+IN HEIGHT " " " " _ " ' _ " " " ' _ " ' _ " " _ " " " ' _ ' _ " _ " ' _ " _ _ " " " " _ " " _ ' _ ' ADDRESS�� S j• L�� `��/�h PL4N NO OWNER % T�l vJPN '� �l'� h �`fa6 i DESIGNER USEiNATURE OF WOFK � IG A G � �I j�/`!�O�7 BUIL�ING CONTRACTOR � Size— Sq. Ft. # Rooms # Srories Height Foundation qass of Consl. Occupancy Permi� � n ,• , ,� k' d'l � rf�. Heat [� A,'C ❑ Vem ❑ Fuel�System N-C° Heat Loss�;i�— BTU'S?�°-°/�;'�'b'��9` /� ro., �i'-/C ELECTRIC CONTRACTOR ._ �^\ Electric Serv. New ❑ Change ❑ Temp ❑ Type _._ Vol�s Amps— � Fixtures Switches Recep�acles Circuits !% PWMBING CONTRACTOR —BT WH Disp —WSoft —CBasin Lav Sh DW DF San. Sewer WC —FDr SP Ur Storm Sewer —Sink LTub Eect SS —Wa�er Other PEES: Valua�ion $ `+ �G�' �� Permit Fee Paid $ ��}7� �� Park Dedication $ ISSUED BV �� Da�e ��9� Finel/O.P.��y - �� In the pedormance of �his work I agree �o perform all work pursuant to mles governing the tlescribetl consimction. /�/r� / �7 ),,// /� SIGNATURE /� �' ��.:C_�=C��j(�m<...2��(..�).�LCf�� /�/f/�'_— PGENT�OWNEF � DdE ADDRESS ��ro '� 3u�'� ��.-a-�-f��./ �%Y ��,�� -Y�- TELEPXIXJE N APPI, DATE_IO��l1� PERMIT N0. �G J�� ADDRESS ��G� S• �GSi///L'/L� OWNER � �C��K t'T' � L� /'/�i� / /HZ NAiURE OF WORK �L.f�G /1/,'1% './ � �'p"/ �f(�Ol�/ HEATINC CONTRAf.TOR�f'(/G�KS �I� q/ L��y. FUEL: GA� OIL � SOLAR SOLID CONDITION[NG �(kbRCED AIB f1.W. ELEC. 6ASE. STEAM SYSYEN gpDIANT SUPPL. C VE �T ��t�1NEY: "A" "P" �IRECY VENT CON.BURNER CALCL1AiED HEAT LO55 �^ SYSTEM OTU RATING� _jX�./Y.� MISC. r <f/.2 /Zn /I-/c INSP., ROUGH [N FINAL ' � 9�. EST. COSTB �� $GG. Ofi PERMIT FEES�¢5J� LYJ DATE PD �y/y/rj/ REMARKS � /!Ji/J ////<�y.