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0002141-HVAC
CITY OF OSHKOSH NQ 02141 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG [ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS yr A-1 1 , , sc y ✓d PLAN NO. OWNER 4 err 1- R Li I. Gvj DESIGNER USE /NATURE OF WORK irk r' /1-G /Yew Am-e_ i P ke s BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Cen4,y , 2J / / �CO /S2f0/ ` lT Pp c- !J , Heat A/C ❑ Vent ❑ Fuel /System N !/� Heat Loss >r 7 ,p/`, BTU'S 0425 ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ 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 LTub Eject SS Water Other ✓ FEES: Valuation $ 7. 3-2,,pe p� Permit Fee Paid $ / p "/":7 �/ Park Dedication $ ISSUED BY ( t . Date /JJ?/'/ tt Final /O.P. /a - 4/- 51:, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUREZ`u' w elW-V I\ 'r y, ` y � /y ^1 1 /F DA AGENT /OWNER ``�� V • // " DATE ADDRESS _ - C),,,t, 41 t... 'g —1411---N% TELEPHONE # PERMIT NO. ©,4 /�f/ APPL. DATE g / /©` ADDRESS prys ///herf/4 6--a OWNER ABC` Tr 9` go,ci, NATURE OF WORK /4. ,4 ' h/ / j r £i / hzC'- HEATING CONTRACTOR FUEL: gp OIL ELEC SOLAR SOLID CONDITIONING • ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND, CHIMNEY: "A" "B" Y)DIRECT VENT CON. BURNER CALCULATED HEAT LOSS 1 415 # vrJ SYSTEM BTU RATING " ',X 7 MISC. INSP. ROUGH IN FINAL /��/j0/ EST. COSTS //75D. pz0PERMIT FEES0e.� ATE PD / /A//ji REMARKS Y f