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0021870-HVAC (furnace)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 21870 TYPE: BLDG 0 HTG '[SlO ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ~?~3 /.-0 f111/~ .&rf1/s&'p/ ~.Yf F{("'!)c-~h e V- PLAN NO. OWNER DESIGNER USE/NATURE OF WORK~/ t2 c e Fv Y' f1 t?c....e- :7-- t::,. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. [ HEATING CONTRACTOR Heat 'tp NC 0 Vent 0 Fuel/System Tc:~/Q - ;Z-e'n In e/? 1L4 J>- (-j" Heat Loss r '1'1 f , BTU'S 6"'5; ~ 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 _DW _DF - San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ ~ v-z:;/ ISSUED BY . Park Dedication $ Final/O.P. '? -8'-'11 In the performance of this work I agree to perform all work 'pursuant to rules governing the described construction. SIGNATURE ~ fJd~ //7/~tlqO f' " AGENT/OWNER DA ADDRESS TELEPHONE # APPL. DATE.J:;..J I 'l.J f 0 . pERMIT NO. .11 87 () ADDRESS ~~ ~_lJ.1rrl50" 7?- OUllER _ __~ I.~ FI ? ,,<1, ...,... NATuiE or;RK Wi a~e P;'1"J44L:t!?- I HEATING CONTRACTO;!:T-eda - 2,e.nJn .pI"" F1JEL: @ OIL ELEC. SOLAR SOLID -~ = CONDITIONING SYSTEM .. GRCED AIR RADIANT H.W. SUPPL. ELEC. BASE. STE~~ Ale VENT CHIMNEY: "A" CALCULATED HEAT LOSS MISC. !tISI' . ROUGH IN EST. COST 1. 9;'1,... CI"O REMARKS "B" ~Y;t'?.r lRECT VENT CON.BURNER SYSTEM BTU RATIi:-lG i)6--: ~ I FINAL -? FEES /9", I/'"e1 PE&~IT ~-