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Home My WebLink About0020472-HVAC (a/c) /� CITY OF OSHKOSH N° 20472 . `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� `, � ��`'f/� PLAN NO. OWNER Cl0/''�Oyf__�'r��S,�/'O/�!'J DESIGNER USE/NATURE OF WORK � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR — Heat ❑ A/C "� Vent ❑ Fuel/System E�z°_� Heat Loss��1 BTU'S � �h E�ECTRIC 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 $ ��S � � Park Dedication $ ISSUED BY i Date ��/ �� Final/O.P. `7 +aD – /D In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 9 SIGNATURE ` Q� AGENT/OWNER DA ADDRESS TELEPHONE# :� �/ � APPL. DATF_�l�%�� PERMIT N0. �Gy �� ' 9-� � A�I�§�� f �� 3 � �/!�! /�l��''i g F OWNER /�-O/"�d� �9S/�O� E - f .��'� �/� �ro�� d�%y� � NATllRE OF WORK � HEATING CONTRACTOR ��u —��`g"T� � � FUEL: GAS OIL EC,.' SOLAR SOLID a � a CONDITIONING FORCED AIR N.W. ELEC. BASE. STEAM � � SYSTEM �IANT SUPPL. A/C VENT - � � CHIMNEY: "A" "B" DIRECT VENT CON.BURNER � CALCtTLATED HEAT LOSS ��'S'�` SYSTEM BTU itATING d � � MISC. � � INSP. ROUGH IN FINAL n � � � EST. COST �j�'j, c� PERMIT FEES 1� r�}j DATE PD p � REMARKS � � �