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0006779-HVAC
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06779 ~~P_E~ _ _ ~L~~ _~ _ ~T? _ fi!_ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G_ _ _ ~ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~~ _ _ _ _ OWNER 1--1L/S'" FrrJ 13 d {.u .e- j/J 7l7-J )(<-{' r //f1; PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK fJ~V./J:" t!. Blat. Mdffl?~h y (2ePl&c!e/ Cc" >>1 /!2 ) BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Ct" r}J /'al r( J-n IJ. C-jul 'of, IJ ' !r Heat ~ AlC Ef Vent D Fuel/System ;\'1.6- Heat .>e rb /c e /f1C-, Loss Jj"1' lJ;11' BTU'S J?-5;~ 'lf1#n ELECTRIC CONTRACTOR Electric Servo New DChange D Temp D 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 _LTub _ Eject _SS _ Water. Other FEES, Valuation $ ~ ~3 ' dO ISSUED BY tJl; . ~:7 . Permit Fee Paid $ Date 7 ?~. #t7 ,/ /17 r~ Park Dedication $ Final/O.P. ;. - :? - f"l(" In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ Va,., ~1I~~,t.- AGENT/O ER /0 S'-7 J.t~fIicllh eDit Cf/iJlvvl}~ ~AIL. 1/ dgg DA E 73J-507/ TELEPHONE # ADDRESS .-..~--- PERMIT NO. "# CJj; 7 7 f APPL. DATE ADDRESS )-;'15- f3;oLVr'0 ?- ' OWNER Fr't' d if' ,'(f'r /1' J.1 ~,. NATURE QF WOlU< Po/kc~ ~rH~ce HEATING~RACTOR, Lk'1t-rqj Temp~ FUEL: ~ OIL ELEC SOLAR SOLID CONDITIONIN~RCED AIR, H.W. ,. .., ELEC.IBASE'STEAM SYSTEM GRAVITY SUPPLEMENTARY' ,AIR CO~D. 9/J/e? c U,CJ, #7 J?7 ) . ,'" ..,', '" CNe elM h) CHIMNEY: "A" I B' DIRECT VENT CQN. BURNER CALCULATED HEAT LOS, ~ ./!pf SYSTEM ~TU RATIN~~ t7t:fO MISC. ,',' ' '. , " "I' if to n ~~~~. Co~~U~ ;~?, ~PERMIT~~~A}tg/~~E PD REMARK~ ' ' , I -pIQI'L-t N-pp llJI~ )$'7 . '... '., .' I tJ , CJ-(I