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0040294-HVAC (a/c)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ,ji'O / N~ 40294 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT OWNER ~?t9 / PkI11// 'Ion Da-v,oI J'oRJ t.e PLAN NO. ADDRESS DESIGNER ::J~ USElNA TURE OF wot~ Jt/ c- ~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. ~ ',HEATING CONTRACTOR f:- Heat 0 AlC ~ Vent 0 Fuel/System Heat Loss BTU'S ::J.. ~ n/Y-/c " 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 _LTub _ Eject _SS _ Water Other FEES: ValuatiOll ~. C"f!) ISSUED BY / Permit Fee Paid $ }Zt!I~. c)-dJ / Date ij~9:19~ Park Dedication $ Final/O.P. 1, I,). .9 'I In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR\\I\ ~~, ~~~u/~7/ 9j" l~ AGENT/OWNER ' DATE ADDRESS \ C\.. '- c: ~ 7d ~ - ~ $1,1 TELEPHONE # APP1. DA1:::! q ~ it ?nM1~ ~o '- J.{ p 1 '1 'I ADDNESS_ ~ ~ ~ ~H1/~~ n O~~f:R _ () rl . It ~ lace --- fUEL: GAS ~ c-.~ NATUtl.E of '.JoRK ;;..-.-i "EATING CO~Ttl.ACTOR SOLAR SOLID CO~01110~ING S'lSTEt\ CN 11111E1 : "A" "." DlllEC't YEIff CON. .uQIIEN CALCULATED NEA~ LfJSsp/rY _SlS~E" .-ru >Jo~INGf 't-t? h MISC. INSP. RoUG1I 1N nNAL I ES~, cos~..L 'I' r.veJ _PE\lMI~ fEES 2!' ~ueI REMARKS FORCEt> At R RADIANT ".~. S\JPPL. S'rEAM OIL ELEC. =.