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0010834-HVAC (furnace & a/c)
CITY OF OSHKOSH No 1 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG r ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 75-4/ 4h p4' t PLAN NO. OWNER (/" /t 4 lG l2G' re/Y.1' DESIGNER c USE /NATURE OF WORK IP__/ /' t QL lejd 1 G BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit r-\ HEATING CONTRACTOR G la /1 1G °-/ //' T— /�, �L. Heat Ell A/C p Vent ❑ Fuel /System �_(� Heat Loss J X / ✓ BTU'S 4��� Y ELECTRIC CONTRACTOR Electric Serv. New El 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 $ ' '? g 7, a / C 14-67 C 14-67 / � Q � Permit Fee Paid $ � ` , 7 � l/ Park Dedication $ ISSUED BY Date l©/7/.7 Final /O.P. '_ ,1 r, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE i 1�/ e� AGENT /OWNER E ADDRESS 3 705. Lv a,, 2 35-‘S10 TELEPHONE # PERMIT NO. `D a i / APPL. DATE / Q/71 re ADDRESS 7 J " 4 ? rl>' � OWNER (J`"/ Z° , -7 j G/l i 7 e NATURE OF WORK k. c e U v' NU c -,6 , Y-1-- 1/71-/C_ HEATING CONTRACTOR "'Ian X gly FUEL: ��(S/ OIL CM SOLAR / SOLID CONDITIONING bRCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY IR COND. CHIMNEY: "A" ►► . ) 1 0IRECT VENT CON. BURNER CALCULATED HEAT LOSS t - 7- SYSTEM BTU RATING ti r MISC. INSP. ROUGH IN r t FINAL / / �' } EST. COST PERMIT FEES9i/ �i�p 'ATE / PD /D /�� REMARKS