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1989-HVAC (furnace)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 12200 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN - HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER ~-:¡:] Lv Jf7n- 7ðrn ~uck\' 5Y~ PLAN NO. ADDRESS DESIGNER ~/ace Fv ¡/ /Æ ¿:¡ C- -€'- 7'-F (k!e<; USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Const. r( HEATING CONTRACTOR ~ CU5"prn ¡j 7""a'f//li ~ Heat I]Ji NC 0 Vent 0 Fuei/System IV:- O. Heat Loss þ"NI'5-; BTU'S / thfj,f1tHJ ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacies Circuits PLUMBING CONTRACTOR _Sink Other _FOr _LTub _OW _SP _WSoft _OF - CBasin - San. Sewer _Lav _WH _Sh _Disp _BT _WC _Ur - Storm Sewer _Eject _SS _Water FEES: Vaiuation $ g#. ~ ISSUED BY ~~ / _m' '00 ~ $ J,J. ~ '1;' Date ' .Jl vi -r / Park Dedication $ Final/O.P. ",,:þ ~1 In the performance of this work 1 agree to perform ail work pursuant to rules governing the described construction. ADDRESS 3ó76 OJa~' AGENT/OWNER ,~;-- 5T ,~iPLj/ S'f' DA1'f ? 3.5~ ,?;?.6 3 SIGNATURE TELEPHONE # PERMIT NO, fF'¡eJ-?CJ--t? APPL. DATI> ADDRESS ."i'3 g LV. Þ//h' 511- m-lNER ~n-7 ó2uci:,.5 NATURE OF WORK ~/ &l" Po ¡::v Y' na r' e- HEATIN~RACTOR Cu<>-hrn ¿J-r--q'/--/nq FUEL: ~ OIL ELEC SOLAR SOLID" CONDITIONING \.fÖRCED AIR H.W, ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND, CHIMNEY: (J "B"- DIRECT VENT CON, BURNER CALCULATED HEAT LOSS ¡:.. '{:.r'7rf . SYSTEM BTU RATING/V21'~ MISC. """/ INSP. ROUGH IN FINAL EST. COST ?5"M..V'Z7PERMIT FEES /5: REMARKS /