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Home My WebLink About0000016-HVAC (boiler) F /� CITY OF OSHKOSH No 00016 �' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 10v� � • N 1°(.(,/�YO N��li� PLAN NO. OWNER � ��/L°{') W A�j d.�/�-j� DESIGNER USE/NATURE OF WORK O L°� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR LLY N�m Qh ��• Heat � A/C ❑ Vent ❑ Fuel/System Heat Loss � BTU'S�./�✓�- GiY`"D : 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 $ • �� Park Dedication $ ISSUED BY Date �/ Final/O.P. / "�-4�d� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE o ��_ ��f�– L� A T/OWNER AT ADDRESS �o°�D Zf/' ��.� ,`�� ,�/- .S�,I��d TELEPHONE# PERMIT NO.�JOO4l.�/ APPL. DATE �� ADDRESS l�O.� C�. /Ys�[i� O v � 0[1NER �' WC1' O ` </. vATURE OF WORK p � �IEATING CONTRACTOR � FUEL: AS OIL ELEC. SOLAR SOLID CO[3DITIONING FORCED AIR W. ELEC. BASE. STEr1M SY�� RADIANT SUPPL. A/C VENT CHI:�JEY: ��A�� B�� DLRECT VENT CON.BURNER C.�I.CULATED HE�T LOSS — � ' � SygTEM gTU gATING S�� MISC. INSP. ROUGFi I:i FZNAL EST. COST �/��a''� a� pg�T �gg.�%' DATE PD RE�IARKS