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Home My WebLink About0047806-HVAC (a/c) 5�� CITY OF OSHKOSH N° � ��806 � � PERMIT - APPLI ATION AND RECORD � C � TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS `/l � � �� /T I0� PLAN NO. ` � OWNER � d�'!��Y'NY� DESIGNER USE/NATURE OF WORK�1�'EZ/� � BUILDING CONTRACTOR , • Size Sq. Ft. # Rooms # Stories Height . Foundation Class of Const. Occupancy Permit � t HEATING CONTRACTOR 5 � G � � Heat ❑ A/C � Vent ❑ FueUSystem Heat Loss,�,�`!ii� 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 $�j� G� Park Dedication $ ISSUED BY Date ��9� Final/O.P. �� g��7�s In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. i /�,� L� �. SIGNATURE "�" ^ ��'""�%C�'`� B � �✓`� AGENT/OWNER DATE ADDRESS TELEPHONE# i . APPI. DATE��5 - PERMIT It0. I Z�� ADDRESS `f/ � �Le' ��h /�-�O� OWNER _ ��G��l y� �U r �� NATURE OF WORK J�� C- HEATING CONTRACTOR j�L' G�S IJ � �f FUEL: GAS OtL _� SOLAR SOLID ' CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. CHIMNEY: "A" "B" 7IRECT VENT CON.BURN R CALCULATED HEAT LOSS � .,,�'f 7- SYSTEM BTU RATING � 'L MISC. INSP. ROUG1{ IN FINAL /�f ff��S� EST. COST /�fc'� �C� PERMIT FEES �f 3. L*�G' DATE PL' JD `O y� REMARKS _ _,_ _ . _._._ . � I