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0006145-HVAC
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N!~ 06145 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN ~ HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.- - - - - - - -- ADDRESS gO} lI-ef7/7rc5'77" ~ Gah 8{/'-' ð? v~C/h / PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ft,Pqj-/IlJ 4>'2£.// ~ 177 ,o~ , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Heighl! Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR f+ rr7 ¥'? riCO kJ /1- ~7 ~\ Heat f1J NC 0 Vent 0 Fuel/System /1/ - ¡; - Heat Loss J:'J5 Al{J P BTU'S ~:~- (?T~ ELECTRIC CONTRACTOR Electric Servo Fixtures' New 0 Change 0 Temp 0 Type- Volts- Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH -Sh _Disp _OW _WSoft - CBasin - San. Sewer _Lav _OF _WC _FOr _LTub _SP _Ur - Storm Sewer _Water _Sink Other _Eject _SS FEES: Valuation $ I 5:q/Ç; C!-O Permit Fee Paid $ ISSUED BY r;l::âtf~ - Date / ./ /&, ~ 1/ /1Jff7 Park Dedication $ Final/O.P. ..2. ¥- f1) In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ;£ ~~. çT ---iL-/ 2) f 7 ~- -&jCjO TELEPHONE # ADDRESS PERMIT NO. *å¿;,/L/(Ç APPL. DATE /~b//ð/ 7 ADDRESS <;/"0 7 ,II- e H /7 "" // OWNE~ (J-aht<'/'V ð?1/~ct NATURE OF WORK M-fa'f--¡'n 4 A/~ 0/ /..Iðrn P / HEATING CONTRACTOR 14m ef1frOw 1-1--';7 FUEL: @ OIL ELEC SOLAR SOLID CONDITIONING ~RCED AIR H.W,' ELI!:C. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR CONDo CHIMNEY: "A" DIRECT VENT CON. BURNER CALCULATE!> HEAT LOS I{J.-f" JJ...u,¡? SYSTEM BTU RATING /.:;q /V/G) MISC. ¡-> INSP. ROUGH IN FINAL EST. COST~.I.6Y:?-q? PERMIT FEES /< , REMARKS T /