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0042198-HVAC
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD F/~ N~ 42198 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~R-E~~ - - - ~~ 4 - - ;: k; ;/;~; - -iiJ - - - - - - - - - - - - - - - - - - - ~~~ ~~.- - - - - - - - - - - jadf/hdf4 ~ tll1l/lnf~fr:d fa~fl1e~jJ/ip C'J<.aft(:t/fe. ] , , OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. II H. EATING CONTRACTOR C 1!?i-1'-rra/ /111 "5l'!I"V/c e -~ e Heat ~ AlC ~ Vent 0 Fuel/System -AI ~~ Heat Loss /i:1 IIJ'p BTU'S ~ p.er P/~ h E::"ECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ____BT _WH _Sh _FDr _LTub _Disp _DW _SP _ WSoft _DF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _Lav _Sink _ Eject _SS _ Water FEES: Valuation $ ~.~. t?"'"t? ISSUED BY ~ / ~.~cPt) / Permit Fee Paid $ -& ~V <,.~ Date /~J/ 7/9'1 " - Park Dedication $ Final/O.P. /0./7 .1{ Other In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~~ ~~~ AGENT/Own-: '5. N-~~, ()~} U', /&?//J!7</ , DATE ' ADDRESS TELEPHONE # APP1.. DATE sj 1- tel ~ PERMIT liO. ~jJl9g ADDRESS '3 (, if <5." ~ 11~jY'l J:&I , OWNER l-4 hri maJ4" t. Uh II Ihlf-e-cf fbrVhY~)n/l:? NATU~~ OF WOR!\ 1:I<f/J1-.P-:. r~ #rtt/l ~aee, Ciz"4f-e) HEATING CONTRACTOR t:'7'!nfytal I~ 7e14V/C-e.. FUEL:~ @ OIL ~ SOLAR SOLID CONDITIONING SYSTE~t ORCED AIR RADIANT H.W. SUPPL. EL~C. 8ASE. C STEAM CHIMNEY: "A" "8" RECT VENT CON. BURNER CALCULATED HEAT LOSS IJ.s ~ SYSTEM BTU RATING Jk ~I" J./ah MISC. INSP. ROUCH IN EST. COST ~ np'tJ? REMARKS