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0043618-HVAC (ductwork)
~' CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD "I :J--'i'ii;(!' -43618 ~ N!' TYPE: BLDG 0 HTG 9?P ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS c7 II p jkr"f~p VI 7'-VO I PLAN NO. OWNER DESIGNER I:k- /8:-c,; ;J..t/ ct, ~ I /Jf I~ D u (;/ 1- f..-U C1' r Ie. USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATIN@ CONTRACTOR-f2t1 pnP') 5h ~.,~;f t Heat 0 AlC 0 VentO Fuel/SystemllLb- NtY~1 ;"':::> '~r Heat Loss s- -(i.t; BTU'S ELECTRIC CONTRACTOR ":" Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ i" Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _WC _FOr _ L Tub _Ur _ San. Sewer - Storm Sewer _ Water _Sink Other _ Eject __SS / Permit Fee Paid $ Lj,~-; ~ / Date J / 9~/9i? , , FEES: vaJuatio~ ISSUED BY Park Dedication $ FinaI/O.P. I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER //'I4?j'- , DATE -01-71;-- 2-/9 f TELEPHONE # ADDRESS (.p03 , N - ST-lf-Nh"J ST ""^""~+';":";'~'_~""'M"':;"""'"'-"'_ APPL DATE-iO/ f" 'i. pERMIT \W. t/ 3 &,1' ADDRESS_ j../I 0 fkl'j/lI~Pl 71 ' ... .. - OIINEN ... '7 ~ tltl f;otflt'f'.j Ch, .. .... ... · ...... . NATURE OFWO~ f;~S~~;€ IfP~kril''''W:~~ HEATtNG CONTRACTOR _.!..t!PU 5he-erH""J:ki1 -- fUEL:, GAS OIL ELEC. SOLAR SOLID CHll1NEY: "A" "B" DIaECT VENT CON. BURNER CALCutATED HEAT LOSS ?-tl:4- r- SYSTEM BTU RATING -- MISC. IY . I'~ 0 J INSP. ROUClt IN ftNAL (l EST. COST ~ ~ tzP.. PEltMIT FEES .1-/ ,. of) REMARKS R.W. ELEe.BASE. SUPPL. .....pA STEAM CONti!'!10NINC SYSTEH ~;--