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0012863-HVAC (furnace & a/c)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12863 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /?/t Hr, 0- Ii ~ Cl/I^dy e y. Y'V1-c' J"l PLAN NO. OWNER DESIGNER USE/NATURE OF WORK flv/tlC e 5'fld[e ftt-r'7 L c:v- IJ-/C- 7- ;:; Re<; v . _ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. I 11 HEATING ,cONTRACTOR lIo,"h'n.5 V Heat ~ AlC 0 Vent 0 Fuel/System /:I- -eQ tint ,AI- ~,. Heat Loss F X; (;,~ J BTU'S_:7f/~ g-- / /&- m/;J ~Ic- 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 _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ ~'7~ ~ d--O Permit Fee Paid $ ISSUED BY ~ / Date / $p~ d-o / ~/"V ?7 Park Dedication $ Final/O.P. f..p -, '5 0 -~9 SIGNATUR e of this work I agree to perform all work pursuant to rules governing the described construction. /-//;'3//9 ./ DATE./' . ' ~ ADDRESS -6f:5... 6"~O<J TELEPHONE # PERMIT NO .1') J-3~ 3 I?I& HCCdtr/y OWNER Hr. U-ef"Jr/ -e:r NATUllE OF WORK tf2yjtUeFN~:26'~Jij~~/Z HEATING CONTRACTOR. Ilia r+/!'? q f,ht/ · . FUEL:@ OIL ~. SOLAR SOLID CONDITIONIN&f10RCED AIR H. W. . .. ELEC. BASE . STEAM SYSTEM GRAVITY SUPPLEMENTARY~R CONDo CHIMNEY:' 11 All liB 11 )GbIRECT VENT. CON.' BURNER CALCULATED l-IEAT LOSS ~ i^&;;t- SYSTEM BTQ RATING.? 5; t?z'/7? MISC. INSP. ROUGH IN FINAL EST. COST jl6f:1CJ. cv PERMIT FEES .tic; REMARKS APPL. DATE # V?:? '7r- ADDRESS