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0014429-HVAC (a/c)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 14429 ~~P_E~ _ _ ~L~~ _~ _ ~T? _~ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N?_ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ tJ /'c-lq rc/ f)/'- 17hmoIT OWNER / g-J-5 (?;/I/ Mol lJ/ c-- PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK 5- f:= KM-5 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. L HEATING CONTRACTOR ~DP5' ~i-~'YJ Heat 0 NC ~ Vent 0 Fuel/System F1fV Heat Loss p-c /" T BTU'S p/ r& /") 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 _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ / /.~. ~'t9 ~ermit Fee Paid $ ISSUED BY ~ P - Date I I ~.-v-<& .; J/7/,~/ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~f AGENT/OWNER J6~ ~ ;7j?Jef'.? ATE ADDRESS s/ {)8.s:-- ? ~ J TELEPHONE # if . . PERMIT NO. / &j&/.J.,C/ - APPL. DATE 7);7/"f/ ADDRESS ! \~;.g &rc--to///c/ j)/,~ 03/1/ FnYHcP IT NATURE OF WORK UtfJ If/ C- HEATING CONTRACTOR t'-4/<:7 '~J?7 tf-ty FUEL: GAS OIL (E~ SOLAR CONDITIONING FORCED AIR H.W. SYSTEM RADIANT SUPPL. OWNER SOLID ELEC. BASE; C STEAM CHIMNEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS r'tf/$' r SYSTEM BTU RATING !J.-.~h MISC. INSP. ROUGH -IN EST. COST,35 / 5'lJ. ~?t!/ DATE PD REMARKS