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Home My WebLink About0011141-HVAC /� CITY OF OSHKOSH N°_ 11141 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG 1�1 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - -7� - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ,�� L��1 g f'`Z°%;�.� PLAN NO. r OWNER � �' � � DESIGNER USE/NATURE OF WORK � a��G- ��,�L l� ��'`a� ��nj � BUILDING CONI�RACTOR ' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR C � � Heat � A/C � Vent �] Fuel/System ,L�/-�-� Heat Loss '`� BTU'S�� '��ip: �' � � f�o� .�;U 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 V / U�o-f�� v� ti,-,r,�� r .t FEES: Valuation $ Permit Fee Paid �-�r�, "� ��/�' , �� Park Dedication $ �'�' ` ��` ' ', .��' �0 �;:�--e ISSUED BY �! Date �y � 1 j��Final/O.P. ��"T `�� i'.nT1!T�tt �'' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE ��'� 9 � AGENT/OWNER E � ADDRESS,/ �� / / �00 J�oz�-a-c� �L aC � /8d+ ��/� ' TELEPHONE# PERMIT NO.�� APPL. DATE ,��/�'�' . ADDRESS �/QQ � p��gr r�S �� ' T OWNER p< �/ NATURE OF WORK ,��fd�� ,��C�/ !�� '4 cJ4� �B/?2-� 7--' HEATING CONTRACTOR ,VC�� je�� J`>�e FUEL: AS OIL ELEC SOLAR SOLID CONDITIONING�ORCED AIR H.W, ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY (�IR COND. l' CHIMNEY: "A" B DIRECT VENT CON. BURNER CALCULATED HEAT LOS SYSTEM BTU RATING MISG. � f INSP. ROUGH IN FINAL // �/ . EST. COST f '. � ERMIT FEESL�ATE PD � . REMARKS , � tL�z � ��