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0005725-HVAC
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 05725 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 1711~ ;5, &qkC/J(?ad a-oh~rl- R 115' rh PLAN NO. OWNER DESIGNER USE/NATURE OF WORK HeovY-cr- ()!:Jm/ )/~ ~m-e 5:E 02~5' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR ('tPrz~YJ 7b tal (;;Jr?1~rY 'j:hC~ C Heat ~ AlC ~ Vent 0 Fuel/System---4/?-. Heat Loss $d' J/jJj? BTU'S ~t?, ~ ~ ~ .0- }--& h ~/c. ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _Sink Other _FOr _ L Tub _Disp _OW _SP _ WSoft ------=-D F _ CBasin _Lav _WH _Sh _ San. Sewer _BT _WC _Ur _ Storm Sewer _ Eject _SS _ Water. r: FEES: Valuation $ .If ~ ' t:J--C) ISSUED BY ~a ~. Permit Fee Paid $ Date / ~/!l. , 0-0 ,/ J~/sj?7 / Park Dedication $ Final/O.P. /:2 -I 8' - 81 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE~ ~~~w,'" /~~?~7 OAT. ADDRESS TELEPHONE # PERMIT NO. or?). j- APPL. DATE /qlJ;! 07 ADDRESS J 7& r :5. CJok /_{//.7CJJ~ .. :: OF~:b;~;':i~/ ~me HEATING CONTltACTOR ~ I2c:tFJ W /z:l / .C4 YJ1-{!& J'1- Y FUEL: B OIL ~ SOLAR SOLID CONDITIONING \!FORCED AIR .H.\o1 ..J::LEC.BASE STJ::AM SYSTEM rGRAVITY SUPPLEMENTARY 'fiR CONDo CltIMNE'l: .. It A" "B II. Y2?IRtCT VENT CON.. BURNER CAL.CULATED HEAT LOSS 1)-1 J;pp SYSTEM }JTU RATING MISC. INSP . ROYP" IN. :FINAl. tSt.. COST ~CJICJ ~vtPERMIT FEES '11, t:'V D tE PD REMARKS