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0036546-HVAC (a/c)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 o'c/j 36546 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER 1~7b :;: ?Ja"kcul!9ud /1/1<- -e_ /k,.t rna PJ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK IYd -H L- ~J: BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. (j HEATING CONTRACTOR Cbn~YJ Jo/~I u~~ FlU.- /:-. _ Heat ~ NC ~ Vent 0 Fuel/System pj-ec5f- Heat Loss J,?-~J5t;; r BTU'S :fA J?;t /7 #-/e- '" ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ LTub _ Eject _SS _ Water Other FEES: Valuation $ / -0 ~ ~~ ISSUED BY ~ //' Permit Fee Paid $ ~ t/. ~ . Date /~ / ;~/7g Park Dedication $ Final/O.P. /(/ If -1""3 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ \J~ '/ t?#&/9$ , DA-fE ADDRESS TELEPHONE # APPL. DATE 1"/)2L,/7-~ ' PERMIT MO. J/,,6Yc, ADDRESS.. /:?7~ ~e t:!?aku.h:3!lOq? ?tVNER #tie pk/f'l-n.Qh " ~ATURE OF WORK ~ ~C- HEATING CONTRACTOR C!; ~ to mII'A~rt--l:itL- FUEL: GAS OIL ~ SOLAR SOLID CONDITIONING SYSTEM FORCED AIR RADIANT - H.W. SUPPL. ELEC. BASE. STEAM 9!:RI C VENT CHIMNEY: "A' CALCULATED HEAT LOSS MISC. INSP. ROUGH" IN EST. COST lfi/c. o-t') REMARKS "Bit DIRECT VENT CON. BURNER ~~J~r SYSTEM BTU RATINGJ). ~n FINAL III PERMIT FEES ~~ #'Pz:;