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0026786-HVAC (furnace)
~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 26786 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /757~ 6~ l. /J It J 0Li/qre I H(./hhafle'1 5P'"' . fir; >>18 lU If Y PLAN NO. ADDRESS OWNER DESIGNER USE/NATURE OF WORK Fv r /-t a c e- o ?J:.p BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTORY~#'l Z -t"'!e? /61 ~;c/' ~ _ Heat p AlC 0 Vent 0 FU;I/System' /I- fd. I~ Heat Loss jf:~, 5- IT' BTU'S b~ ~) ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR . L _WC _WH _Sh _FDr _ LTub _Disp _DW _SP _ WSoft _DF _ CBasin _BT _ San. Sewer _Lav _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ ??~ 5"= P-& Permit Fee Paid $ ISSUED BY _ ~ -- Date / ~q.. o-tJ / &/7-7jer/ Park Dedication $ Final/O.P. J '- I?:' - 9' -::; In the performance of this work I agree to perform all work pursuant to rules governing the described construction. /t_ {~~ 0 l}-k?!9/ , fOWNER ' DPi E Y1Y/7Ya- 7-Y5'~ TELEPHONE # SIGNATURE ADDRESS PERMIT NO. J-c, 7 gf; APPL. DATE /~/;J ~C}/ ADDRESS /;5);;.. /It~~~~r,.-I 5!-' OWNER tJ~ t' J? /1 Y ~. 2;~ LL/a G/ . . / NATURE OF WORK . f2r~kce h:rH,4'Ft:?: HEATING CONTRACTOR /lz/,/ // u ~ ,L.e-c:.-k /?q" FUEL: @- OIL ELEC SOLAR SOLID CONDITIONING 'f!ORCE:Q. AIR H.W . ELEC. BASE STEAM SYSTEM. GRAVITY SUPPLEMENTARY AIR COND, CHIMNEY: "A" "B" ')1:JlRECT VENT CON. BURNER CALCULATED HEAT LOSS E'y:~~ r SYSTEM BTU RATINGt~O'z:;/'-t'? MISC. . . INSP. ROUGH IN FINAL ~ EST. COST;P ~t;. 7:0(') PERMIT FEES :LP.c-'1;.1 DATE PD L REMARKS