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Home My WebLink About1991-HVAC (a/c) /, CITY OF OSHKOSH N° 23665 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONWG FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '!�✓ ,��f� ��/ PLAN NO. OWNER �Lr' ��Z`/ �`' DESIGNER USE/NATURE OF W�RK____�L�� ✓ C�— S/ - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR — � ��' Heat ❑ A/C � Vent ❑ Fuel/System ��G� Heat Loss�k'/�s ✓ BTU'S �<7 ELECTRIC CONTRACTOR Etectric 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 $ �� ° G�n Permit Fee Paid $ ,��• �� Park Dedication $ ISSUED BY � Date `'/�/�� Final/O.P. [� r�'" �/ In the performance of this work I agree to perform all work pursuant to rules governing the described consti uction. � SIGNATURE • � � 9 AGENT/ R DATE ADDRESS TELEPHONE# t ' APPL. DATF (D y �� ' i�ERMIT I�0._��y(� ,✓ ` ADDRESS �f.�5 ��/��G' , 0[JNE R � NATURE OF WORK y��,G NEATING CONTRACTOR %��ylLcN FUEL: GAS OIL LEC. SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. �/C VENT CHIMNEY: "A" "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS ��G/'ST SYSTEM BTU RATING ��h MISC. INSP. ROUGH IN FINAL EST. COST ��.�j, ('t� PERMIT FEES x f�_UC� DATE PD ro y REMARKS