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Home My WebLink About1989-HVAC (boiler) /� CITY OF OSHKOSH N° 14778 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��f I-�iG' ,�, 1//2� �� PLAN NO. OWNER �T/� �� "�'� /7 DESIGNER USE/NATURE OF WORK G' � Z� ' — — BUILDING CONI'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �t � �— Heat �] A/C ❑ Vent ❑ Fuel/System '�_` Heat Loss �X-d�S� 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 —SP —Ur Storm Sewer Sink LTub Eject SS Water •Other • ` FEES: Valuation $ �7�� L� Permit Fee Paid $ 3� ' �� Park Dedication $ , ISSUED BY ''�7'�`� Date ��7�! Final/O.P.�Q��9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � ( SIGNATURE "i' � `�`�"�' rSy� AGENT/OWNER DATE � ADDRESS l � U .5i '�rG'' `�,.""` "� �,�_S � o�/I� TELEPHONE# � � PERMIT N0. �`'��',� APPL. DATE ,�'��//�� ' ADDRESS � � '�S ',r- � OtJNER �� € � NATURE OF WORK �(": � ,�C'�' � ' �: � 'HEATING CONTRACTOR ` �i ! �,�- � � FUEL: G� OIL ELEC. SOLAR SOLID � �; �� CONDLTtONING FORCED AIR �.W. ELEC. BASE. STEAM � SYSTEM �I�T SUPPL. A/C VENT � � � CHIMNEY: ' "B" DIRECT VENT CON.BURNER � � CALCULATED HEAT LOSS f=xr'S r SYSTEM BTU RATING�� MISC. � INSP. ROUGH IN FINAL �� REMARKSST � 7 �� J� pERMIT FEES f3 ; C� DATE PD �� 1 � � �