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0039977-HVAC (extend duct work)
�a� � CITY OF OSHKOSH N°- 39977 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ����' � �Z-�l�'rSS �� PLAN NO. OWNER U�%/►v1 �-I�QY�p � !/S%s-rE'i � . DESIGNER USE/NATURE OF WORK �SQy's°t j� G�(�G� C(1l.�i''�. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR_�C[ N�0 �'�E'1 Heat ❑ A/C ❑ Vent ❑ Fuel/System �--t2 Heat Loss �-���5 /`� BTU'S �— � ELECTRIC CONTRACTOR E�ectric 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 $ �G• �� Park Dedication $ ISSUED BY Date ���y��� Final/O.P. T�-�- fn the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE Q' AGEN WNER p � ADDRESS /��� 3 �5�� TELEPHONE M � ' APPL DATE � /� 7/�� PERMIT ItO. 3 �9�7 ADDRESS �OD j, �p�tct�"���J �T; (.�i l�.y .ri O Lrl- q� OWNER �� S/�Ac �-v!/h . NATURE OF WORK �� t -,,�� n ��]'- HEATING CONTRACTOR jM� ,� y� f�,rG FUEL: ; GAS OIL ELEC. SOLAR SOLID CnNDITIONiNC FORCED AIR H.W. ELEC. BASE. STEAM SYSTEti ' RADIANT SUPPL. A CHIMNEY: "A" "B" DIRECT VENT CON.BURNER CALCULATED NEAT LOSS SYSTEM BTU RATING MISC. INSP. ROUGH IN FINAL/ � EST. COST `��G, � PERMIT FEES �'G�up DATE PD REMARKS