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0031903-HVAC (furnace & a/c)
� CITY OF OSHKOSH N° 31903 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS � ���� L(J � � PLAN NO. OWNER 1��4�f�` �21�y �� �'�1 DESIGNER USE/NATURE OF WORK ������ �vf^s2Q<� �������/� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR u — fiL�`7 C�'�' Heat'� A/C � Vent ❑ Fuel/System �u� Heat Loss � �°�> � BTU'S ���� a� 7�� 19�/c-- • 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 $ y 7�`'a . �� Permit Fee Paid $ y�- �� Park Dedication $ ISSUED BY Date Y�9Z �.�"�-„ Final/O.P�3. In the pertormance t s work I a e to erf work pursuant to rules governing the described construction. , SIGNATUR 1�� !�� G WNER DATE ADDRESS �� ��' �/ �' , �j� �3,�� O 9 �'U L / �J � �J " / TELEPHONE N // // � ��('/'". APPL DATE l�%��I� PERMIT N0._ �I�� ADDRESS �,�/,� (�{j 7i� �v�, OWNE R ur,�9��" I/v R/O�� fG.l NATURE OF WORK ���QL� �li���t ,e c�C-/��0�. C� HEATING CONTRACTOR - �--h�r `' ` FUEL: AS OIL EC.' SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SY•oTEM RADIANT SUPPL. C CHIMNEY: "A" "B" IRECT VENT � CON.BURNER CALCULATED HEAT LOSS ��y y`5 r SYSTEM BTiJ RATING �; �f MISC. � � L INSP. ROUGH IN FINAL �� EST. COST '���(J`D PERMIT FEES �!�� DATE PD / � REMARKS