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0020495-HVAC (2 boilers)
/�'� _ CITY OF OSHKOSH N° 20495 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �/`�� ��9h �!�� PLAN NO. OWNER �f_�/�/` �L.-, !(L�l �V�- / �`� DESIGNER USE/NATURE OF WORK �- �d/ Z-°�� C/ t-' BUILDING CON7'RACTOR Size , Sq. Ft. # Rooms # Stories Height : Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � }� Heat� A/C ❑ Vent ❑ Fuel/System��• Heat Loss����5� BTU'S 7���� � C.�- ��, li`D'D. ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fiutures 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 �%r�"� � Date � Final/O.P. / ��� - /Q In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE Vv �� � R� O AGEN WNER ATE ADDRESS / ��� �b • � GL c �, a 3 5 - a��� TELEPHONE# ; APPL. DATE� -�t0 PERMIT N0. � Z� 9;J� i g a 3 � ADDRESS C'�7 ` .�z ; � o��R_�-�i i�,� � S��w� �ir� ; . � NATURE OF WORK tI �4� ' � ��G/�I�'�"% ; � KEATING COIQTRACTOR��j�h_����, /�;� , ; FUEL: AS OIL ELEC. SOLAR SOLID ; � CONDITIONING FORCED AIR .W. ELEC. BASE. STEA�K ` � SYSTEM RADIANT SUPPL. A/C VENT � CHI�IEY: � ��8�� DIRECT VENT CON.BURNER CALCULATED FIEAT LOSS ���`S / SYSTEM BT[T RATING fJ�Q`� :�iISC. INSP. ROUGEi IN FZNAL li l/ EST. COST '��'�/ �Uf� PERMIT FEES � DATE PD /�'j REMARKS