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0036837-HVAC (furnace & a/c)
��� � N°_ 36837 ` /� CITY OF OSHKOSH -v `' PERMIT - APPLICATION AND RECORD � TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� � NQGC/ Yar Ic /71�'� PLAN NO. OWNER_ L°S��� DESIGNER USE/NATURE OF WORK ���! Q�� ��"s��� e � J� J�1�' � . BUILDING CON7RACTOR , Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit f I HEATING CONTRACTOR T�r�7L���n �F� -F�G N IlCG Gi �� Heat � A/C �Vent ❑ Fuel/System ,;t� � Heat Loss �'� �°/57` BTU'S �� �fl`"� - `� �l �s z �l 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 i FEES: Valuation $ � �t� Permit Fee Paid $ ✓�.�^ �J`� Park Dedication $ ISSUED BY Date ,�����1�3 Final/O.P. � ' Z �- � In the performanc of is rk I agr to all k pursuant to rules governing the described construction. c SIGNA ` `'�'��'� AGENT/OWNER DAT ADDRESS � TELEPHONE N APPL. DATF, I��10��� PERMIT N0. ��p ff 3 7 ADDRESS_ _ �j�9 F . N��v �l�l�'�L- �-v-� OWNER v�s � ��- �IATURE OF WORK ��l QL�° �`'st!lc-� qL�f,�r'lG HEATING CONTRACTOR �� �s � • FUEL: OIL � SOLAR SOLID CONDITIONING RCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT S�JPPL. �A/C VENT CHIMNEY: "A" "B" IRECT VENT CON.BURNER CALCULATED HEAT LOSS ���5 T SYSTEM BTU RATING Q�_ MISC. h G INSP. ROUGH IN FINAL � �'/ ' EST. COST ��,v�p PERMIT FEES 1j-^�ct�p DATE PD � REMARKS �Jh a hl� t�r� Fi`,���