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Home My WebLink About0043280-HVAC (boiler) �� CITY OF OSHKOSH N°- 43280 . � � `' PERMIT - APpLICATION AND RECORD � 5p F' TYPE: BLDG ❑ HTG (� ELEC � PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT £ ' ' ' ' � ' ' ' ' ' ' � � ' ' ' ' ' ' ' ' ' ' ' � ' ' ' ' ' � � � ' ' ' � ' ' ' ' ' ' ' � ' ' � ' � ' ' ' ' ' � ' ' � ' � ' ' ' ' ' ' ' F ADDRESS_- /�� '/r �T�r G� SC�I�/ �j yT' � PLAN NO. ;= OWNER_ �T!" !1�G s�J S� � l'�Lt l ' {�+��t s i( t: DESIGNER � �: USE/NATURE OF WORK - �-�/U C P A�Gi �! L°!^ F F i BUILDING CONTRACTOR ' Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit IiEATING CONTRACTOR �� vt � 5 ]: �7� �`p s7 Heat � A/C ❑ Vent ❑ Fuel/System �-- �� Heat Loss ��'i��_ gTU'S v k r 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 _gp _Ur _Storm Sewer —Sink _LTub _Eject __SS _Water Other � FEES: Valuation $ � �� Permit Fee Paid $ �� J`'� Park Dedication $ ISSUED BY Date ��9JJ'� Final/O.P. . In the performance of this work I agree to perform alf work pursuant to rules governing the described construction. SIGNATURE "�� ' AGENT�O R � DATE ADDRESS �O� �/�r"�d �.,�/G!�jJD TELEPHONE N APPI. DATE � / %~ PERMIT t10. ! ,/4`J � " ADDRESS �� t TC'��d� �� OWNE R �/ �� to vi S t�� L�+�/�1 7�r`!S � ' NATUL'�E OF WORK L G v�"f'L��'�- HEATING CONTRACTOR rt'6t l�7 `� � ��' lm `� ' FUEL: S \ OIL ELEC. . SOLAR SOLID CONDITIONING ORCED AIR .W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A CHIMNEY: ' "B" IRECT VENT CON.BURNER CALCULATED HEAT LOSS �-�(�'S'�"` SYS'tEM BTU RATtNG / .<� MISC. INSP. ROUGH IN FINAL EST. COST 3�f��r !/`D' PERMIT FEES � -�'tt'J DATE PD REMARKS �