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Home My WebLink About0013125-HVAC (a/c) � _ CITY OF OSHKOSH No 13125 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS "/ ✓�� L.l��V C� PLAN NO. OWNER /'(_ -� �7 �/'C'i �j ,�. DESIGNER USE/NATURE OF WORK----L-�rL�� /�--- �`/ . �-�'3" BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR r ; � � �h Heat ❑ A/C�"i Vent ❑ Fuel/System— � Heat Loss ��/ t,� BTU'S � T 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 $ �,��7 r � Permit Fee Paid $ !� � C� Park Dedication $ ISSUED BY ` ��`' Date � � Final/O.P.� �°?��9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �"�–��s–�z-�— � � � AGENT/OWNER DA ADDRESS TELEPHONE# � PERMIT N0. J �/�. 5� APPL. DATE�� ADDRESS__`��/ ,�. (,,(J ?��,� �� O�1NER /� � �l�l �� l•9 l�— � NATURE OF WORK ��=,D /�' � � HEATING CONTRACTOR � �' � � FUEL: GAS OIL LEC. SOLAR SOLID � , CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM �IANT SUPPL. C VENT # �� CHIMNEY: "A' "B" DIRECT VENT CON.BURNE � CALCllLATED HEAT LOSS �� d� �` SYSTEM BTU RATING � ` � �' � MISC. � INSP. ROUGH IN FINAL �1 ,�� ,,'� � � EST. COST,� , t�a PERMIT FEES'�� G"—� DATE PD 1"� ' �.�" ! REMARKS � � � � �