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0033600-HVAC
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ /7'- 33600 TYPE: BLDG D HTG ftP ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /7 N W ~t'7 tI 7n fb r k- )J-(/~ c-d r I? -e/ 1-/12 uc/ r PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK If:- y. J+~ c. N~u/ . 5h?re- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. Q HEATING CONTRACTOR c~VI.;rl^ai ~. Heat ~ NC ~ Vent ~ Fuel/System f/-ea i/nf IV-~ 11!' r'c/ f~e, Heat Loss "'J5' fJl'P BTU'S ~/H~PIhP T' .?- (/!) '/ i:, P7 die- ELECTRIC CONTRACTOR i', Electric Servo New D Change D Temp D Type_ Volts_ Amps_ J' Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ I~ ()pz?, ~ '. ISSUED BY ~ Permit Fee Paid $ Date I Irl?,~J '#~7/9~ Park Dedication $ Final/O.P. t 51,JtJ/r3 I In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~~t9:3 DAT 12" c;- Vi 06 TELEP ONE # ADDRESS J / b/ 93 l?~RMI'l' NO. , , -. . ADDRESS '2~ 4!~'." .7"c;t&-'.,~.fq7' IL Ot~NER H/lvT;r:- f/o/h-Y {cqrR~r ;;'-orej NATURE OF WORK tf-.y.J9-.C-... /tlte C{/ '5 /?7 r"e.. ::~NG@RACTO:IL te(fjJ .. tlZAR SOLID COND'fTIONING aRCED AIR H. W . ELEC. BASE. SYSTEM RADIANT SUPPL. ~/C VENT ~, CHIMNEY: "A" "B" IRECT VENT CON. BURNER CALCULATED HEAT LOSS 1/5" ~Jl SYSTEM BTU RATINGP,!f/~ ~ MISC.. .cy /c-- tNSP. ROUCH' IN FINAL EST. COST /~ (/rJ'tP. v-o PERMIT FEES ~. C"eJ REMARKS, ' APPL. DATE J~~'~ STEAM DATE PD 'I