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Home My WebLink About0021066-HVAC � CITY OF OSHKOSH N°_ 21066 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �" �� OG�'/`� S/'�l �-° �r� PLAN NO. OWNER Csl�/"��S_�.7'pn2�S DESIGNER USE/NATURE OF WORK � ��"��Lt'��/�� " BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR u/�lr'� /�'""✓� � �Heat`� A/C ❑ Vent ❑ Fuel/System �� Heat Loss L��Gl�S� BTU'S �� 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 $ � ! ��• �� Permit Fee Paid $ ' � Park Dedication $ ISSUED BY� Date ��j �� Final/O.P. ,�- � �i� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. _n SIGNATURE ' � /�j �1 AGENT/OWNER DAT � ADDRESS TELEPHONE# � / ' � APPL. DATE_ 4/l0/Q� PERMIT it0. ��G�(.� � Ewnt�ss �✓�`/.5— ��i'�si ' � � � Ot1NER_ CC�'`'��"S 5 /�Yl2�s � ( / � NATURE OF WORK T�.V�}� /I��'Ll- N�f j7 � HEATING CQNTRACTOR (�(� ��- � ,� ��`J � FUEL: �� OIL ELEC. SOLAR SOLID � CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM � SYSTEM RADIANT SUPPL. A/C VENT � � CHI�INEY: ��A�� DIRECT VENT CON.BURNER � CALCULATED HEAT LOSS SYSTEM BTD RATING �G��_ � � :�IISC. � .� INSP. ROUGH IN FINAL � 3 EST. COST `�j yG� . G� PERMIT FEES g, G'-a DATE PD y � RE:tARKS �