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040592-HVAC
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~ N2 40592 TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /7'7 t:J '5, t/a k t{....?$ltP4 t::!;/ u 7" 7 I (c j~ hz L!- 5' PLAN NO. OWNER DESIGNER USE/NATURE OF WORK # )1lJ..-y IV.e-LV j/P In ~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR 13 r et.v -e " ~. Heat ~ AlC 0 Vent D Fuel/System 1/-'1 1(1- - Heat Loss #:f ~p BTU'S ~ ~ " ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type Volts _ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ 7- 95"- de;? ISSUED BY ~ Permit Fee Paid $ "1~' crt'9 Date '7/.f) t/ 9 r Park Dedication $ Final/O.P. / c2/'J.9f In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /Wi; J ~~~ "z/~1/9~ / DATE ADDRESS TELEPHONE # APPT~ DATE ~/ ~tY9~ PERMIT riO. ij"t?71.J- ADDRESS /7)/? 'S'. t:?c;i:.U-IOOr/ OWNER C(q~~/;..- &P7-I e$ o NATURE OF to/ORK HI/' #s;.. . /V~ hb~ ~ r Hf.ATING. CONTRACTOR "reU/er u.-y ~FUEL: @ . OIL ELEC. SOLAR SOLID CONDITIONING RCED AIR H.W. ELEC. BASE. SYSTEM RADIANT SUPPL. A C STEAM CHUmEY: "A" lOB" )'9IRECT VENT CON. BURNER CALCULATED HEAT LOSS H't:r If:ti..n. SYSTEM BTU RATING ,9; ~ MISC. r INSP. ROUGH IN FINAL ~'!J f /9'1" ~ EST. COST ;?~,~ PERMIT FEES 1~* DATE PO?l~I/t:;? REMARKS