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0026540-HVAC (furnace & A/C)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 26540 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - - - - - - - - - - - ADDRESS /I'ft{ H~rl"l II t:C~ra ( d Ik e-ff . PLAN NO. OWNER DESIGNER USE/NATURE OF WORK_~= Fvr#t2c",- cr ~ hi c- $~F BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR rl.u.~muc:;?-ePl ~ J-I-lr q:.- #~C-- . ~ Heat ~ AlC ~ Vent 0 Fuel/System lit- 6 Heat Loss j::')P I ~ V BTU'S.Lt:7/~ '" 9 ~ llYn ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Sh _Disp _ WSoft _OF _ CBasin _Lav _WC _FOr _ L Tub _OW _SP _ San. Sewer _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ 'I~ . c.J-eJ ISSUED BY ~~ Permit Fee Paid $ Date / #'5-:- ~./ ~/k/t:?1 Park Dedication $ Final/O.P. );;) - db - '7J ADDRESS In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~~ ~~ "C\\5 ~ r / i?/k,/9/ DATE ?5.s~6~roJ TELEPHONE # PERMIT NO. ;-[,6''10 APPL. DATE J >/tt /1/ ADDRESS t / 'f if N -e r f' t' t I OWNER, cJ-ef"L~[d - /J.oe H NATURE OF WORK ~/QCe hrnac~ cy-JJo&I ~/c- HEATING CONTRACTOR t12P4 Jrl{/75 -r!H j-J.:ly, Cfl-- #Ie- FUEL: ~ OIL ~ SOLAR SOLID CONDITIONING ~ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY ~IR CONDo CHIMNEY: - "A" "B" ~IRECT VENT CON. BURNER CALCULAT.ED HEAT LOSSg-jO(~ I SYSTEM BTU RATINGkO' ~ MISC. . , INSP. ROUGH IN FINAL I EST. COST J..f~ ~,I'OPERMIT FEES ~.7:.~DAtE PD I. REMARKS