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0043105-HVAC
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD )crt7 0-- 43105 N. .. TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN.O ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS f'!,5:J" ~ J. Lf,7 , e Co- &.Af'fy g)ake J-k1nl!!-5" cy~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK IFr4C" NeWl Du,)J Joe 'f I" . BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. f HEATING CONTRACTOR 13"~L(Je Y' G- Heat ~ AlC 0 Vent 0 Fuel/System bJ-'hj JJ~~ Heat Loss ~ Itpp BTU'S ~~"C! ~ / ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR _BT _WH _Sh _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _ Water _Lav _WC _Ur _Sink Other _ Eject __SS FEES: Valuation $ j;C; (J-t'). ~ ISSUED BY ~...- Permit Fee Paid $ Date ./ bl.. ~ .v'/ I ~/ fl-t:J! '9' Park Dedication $ Final/O.P. 6'''' dd .c; 5 SIGNATURE erform all work pursuant to rules governing the described construction. I ;.-/ ,po/ ?'9 DATE' ADDRESS TELEPHONE *' APPT. DATE Iii) lfJ!'i'f PERMIT MO. t-f3/tlo ADDRESS ,",Yoo- J. 1;7 8/ ttk~ cl:- OWN~R }ecC/r'ID 1 y )(pPne ~ NATURE OF \-lORK c",.. HEATING CONTRACTOR FUEL: @ CONDITIONING SVSTE~t OIL ELEC. SOLAR SOLID FORCED AIR RADIANT H.W. SUPPL. ELEC. BASE. A C STEAM CHHmEY: "A" "B" CALCULATED HEAT LOSS ~ ~~ MISC. INSP. ROUGH IN EST. COST f"t ~ . C/-t'J REMARKS IRECT VENT CON. BURNER SYSTEM BTU RATING fJ.e.'?"'1~ed_i FINAL PERMIT FEES tIc. ot:I fr DATE PDl 9~