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Home My WebLink About0041305-HVAC (a/c) �/ CITY OF OSHKOSH N°- � 41305 � PERMIT - APPLICATION AND RECORD - TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . ADDRESS �� s t-°�a�/ � PLAN NO. OWNER ��1 F� �<�-�- �L C �[/ DESIGNER USE/NATURE OF WORK /G� fN C_— BUILDING CONYRACTOR ' Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � �G--' J ' � Heat ❑ A/C � Vent ❑ Fuel/System Heat Loss �J��r BTU'S � �� 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 $ ��0� � Permit Fee Paid $ d2Q� �� Park Dedication $ ISSUED BY Date ��%-c� Final/O.P. � �2� -L "'� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �1� �'�� ""` �C 'J� v Q AGENT/OWNER DATE ADDRESS TELEPHONE N APPL'DATE � / / PERMIT ft0. �� ' A,B�IF�� _ _. _ , ._... .. . , _, _ . _... . ti ._ OWNE R ��l�h �� t° /1D,�l� NATURE OF WORK �� /r/C� --r HEATING CONTRACTOR /�L G�`'/ 'r �,�� . ._...._., _ ._. .� FUEL: GAS OIL LEC SOLAR SOLID CQNDITIONING FORCED AIR H.GI. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. CHIMNEY: "A" "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS ��s T SYSTEM BTU RATING � J49h�G MISC. INSP. ROUGH IN FINAL ! �1 i EST. COST��/�O. vD PERNIT FEES �tl�_u� DATE PD REMARKS