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Home My WebLink About0011481-HVAC � CITY OF OSHKOSH No 11481 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - -(- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , 1� �' �' �� PLAN N . A��RESS , • OWNER C�(//��/,jS �'Yt'/�j DESIGNER USE/NATURE OF WORK �C�a�%/V L°u1 /�P� � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height • Foundation Class of Const. Occupancy Permit HFATIN(� (�(�NTRAC'T(�R �� / �'� � C— (' Heat � A/C ❑ Vent ❑ Fuel/System Heat Loss 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 T/�- �/ Date �/� Final/O.P. `�/°�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� ""L��'� AGENT/OWNER A ADDRESS TELEPHONE� PERPtIT N0. � ��/ APPL. DATE �� ADDRESS 'S`�C� �Y�/'/}'�/G1`"L�? OWNE R �o�1/{� I' ./�l��/�l� T J � NATURE OF W0� V L�(.�/ /7f9`JZ °l� HEATING CONTRACTOR Q Gt � �p1�- �� FUEL: GAS� OIL ELEC SOLAR SOLID CONDITIONING�'ORCED AIR H.W. ELEC. BASE STEAM SySTEM GRAVITY SUPPLEMENTARY AIR COND. CHIMNEY: ' DIRECT VENT CON. BURNER CALCULATED H T LOSS c SYSTEM BTU RATING '_'�h� MISC. INSP. ROUGH IN FINAL ' EST. COST�C�J �PERMIT FEES�O� DATE P / REMARKS �