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0042199-HVAC
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 51~ N~ 42199 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - ADDRESS .qt??, k & c:.-I/ e r r<cJ OWNER /4ndnUZf1 Ie- 1/"1//n1/ /rei far 1'J1ers-h I /' PLAN NO. Cllt1vrAHce or:{)'c~ DESIGNER USE/NATURE OF WORK f/- J/ ~ CO' IV ~tU tJ7 f2/l ce , BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR {'~ ~i'ytt:l- / J/-"'l '> C' r t/ I ~ -L t Heat ~ AlC !:f1 Vent'@' Fuel/System /V- 6-.' Heat Loss 1/t:1 J1fJ1 BTU'sM7 J1er Pk!; 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 _ L Tub _ Eject _SS _ Water Other FEES: Valuation ~~ ISSUED BY . / v-e:;/ Permit Fee Paid $ ij9'.- Date /~ 7/9.7'" Park Dedication $ Final/O.P. /0 ,/7. 9t/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /~/,~9Y ADDRESS TELEPHONE # APPl~ DATE If/ d("j94 PERMIT liO. Qj/1.9 ADDRESS '?~9's,j<:pe-'/l!r' &L .. . (jK~f/ff,'f&~ OWNER /..audfft-aJA'k. .t/I1IIh7lf~d ~f'7"h-e~i:'p C~ NATURE. OF \o/ORK f1. ~ I}-C:.T-e h .effPV <<S,ace.. HEATING CONTRACTOR r:'~/4,f-('P/ flY? 7t:!P'VI'-.&L FfJEL: GA' OIL @0 SOLAR SOLID H.W. SUPPL. BASE. STEAM CHIMNEY: "A" "B" CALCULATED HEAT LOSS ~ ~)? MISC. INSP. ROUGH IN EST. COST U'f 01f o. c;X) REMARKS IRECT VENT CON. BURNER SYSTEM BTU RATING 11., fJer Phfd