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0028421-HVAC (a/c)
CITY OF OSHKOSH N9 28421 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ? ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 176 / mf / w f1 a PLAN NO. OWNER ely Lk i-/50 DESIGNER USE /NATURE OF WORK Kitdd /plc 5 g BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR re e-4 — Z , p 4 l-, e Heat ❑ A/C Vent ❑ Fuel /System Lam/ e e- Heat Loss r `" r BTU'S ,i AVG 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 $ /Pe • GiLe Permit Fee Paid $ P 3 € Park Dedication $ ISSUED BY Date 314,9 Z Final /O.P. cell ma.... In the performan - of thi. work I agree to serf. all w. . pursuant to rules governing the described construction. / f' _ SIGNATU 1 OW AGENT /OWN R ,g2d ATE ADDRESS 660- 0 i .3.s---99 70 4e.....„ . _zz. N S 1 1/ TELEPHONE # PERMIT NO. '/) / APPL. DATE 0/9'7.--- ADDRESS 4/ y 0 a to OWNER /-0-d y 1 h50n NATURE OF WORK / � N HEATING CONTRACTOR reek -!2 y"n e '' FUEL: GAS OIL © SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY 54RIR COND. CHIMNEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS c /5 T SYSTEM BTU RATING 7.27`7 /y /G MISC. INSP. ROUGH IN FINAL 4 ef /kl— EST. COST /700 , C- PERMIT FEES 3, 'J- 2 DATE PD REMARKS