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0044879-HVAC (furnace & a/c)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD jl/ 1- Ng 44879 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ ~:E~ _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ . ~~I~~T_ _ _ _ _ ADDRESS /117 .Huf'J1t!'( I.T d h f1 Fo / / t: rt PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 'Rt.t/a ce., ;=v r H /i c ~ rF-j:J.d/ Jt/ ~ ,BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ft HEATING CONTRACTOR It./' ~71 ~-y Heat ~ AlC ~ Vent 0 Fuel/System AL~ Heat Loss ~ lit; r- ~ ~ BTU'S 7~ 0/ ~~ /P~ H-/L. ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ Eject _ WSoft _OF _ CBasin _ San. Sewer _ Storm Sewer _ Water _WC _Ur _Sink Other _SS ISSUED BY -?/~ C/pJ - &'~ ~ / $?~/ Permit Fee Paid $ ~ ~ Date ,f7r/9,~'- Park Dedication $ Final/O.P. 1 ~ I g -9.5 FEES: Valuation $ In the performanc~ of this work I agree to perform all work pursuant to rules governing the described construction. ;};g 4ENT~ 67"t.t!.r SIGNATURE ADDRESS TELEPHONE # A~PL DATE ~ 1V'9,Z pERMIT no. I-{ 'i go 79 ADDRESS J 1/7 IlarJ1~ OWNER IJt;J h YJ fiLII e tf NATURE OF \oIORK ~}c;ce Fi-rutfU"e! 4- d.d2::I ~/c- "EATING CONTRACTOR p---,,,~ ,UJ1J FUEL: @ OIL EC. SOLAR SOLID I CONDITIONING ORCED AIR H.W. ELEC. BASE. SYSTEt1 RADIANT SUPPL. C = STEAM CHH1NEY: "A" "B" DIRECT VENT CALCULATED HEAT LOSS t:VltJ~ r . MISC. INSP. ROUGH IN EST. COST '3 ~CI7:? .~ u-o REMARKS DATE PD .