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0043673-HVAC (furnace & a/c)
,f'02- No - 43673 � � CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS a��� Y t'�n l G �1 Gr PLAN NO. OWNER S����h � � DESIGNER USE/NATURE OF WORK��Ql G• �!/Nbl QG t' 9`/b�'"r ��� . BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height � Foundation Class of Const. Occupancy Permit • HEATING CONTRACTOR Te z%-IG — ��� Th f r r/ !L'i!2!'c�l'�'7 y Heat �' A/C � Vent ❑ Fuel/System_1Y< <O• Heat Loss��Z°��5�_ BTU'S �0�� (/ d� � a� �h /17G 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 $ Ll�`D`'�- �� Permit Fee Paid $ �.�1 • �D � Park Dedication $ ISSUED BY Date���, 9�� Final/O.P. `�°�v� Q � In the perfor ance o his work agr to p rfo all work pursuant to rules governing the described construction. � � ' SIGNA E O� ��9✓r AGENT/OWN R DATE ��7� G�_,-���-•��-- �l�,• /"l .- 7i�� 'O /��� ADDRESS v TELEPHONE M � �� J APPI, DATE��C�i/9� PERMIT t/0. �3G �,� Ad�RESS ',,��/Lt �e s��Cl Gt �1 -_._�. : OWNER �� �����/7 �'/` � �� i /-� �/ NATURE OF WORK (}C�✓��Q�G� /'"�'�"���� 9�' �/T/ G HEATING CONTRACTOR �C�C� — rt'LZ T�[ �/' ' F�CiLd fr�i 4 s1 FUEL: AS OiL LE�' SOLAR SOLID E: CONDITIONING RCED AIR H.W. ELEC. BASE. STEAM ' SYSTElt RADIANT SUPPL. CHI*1t1EY: "A" "B" SiDiRECT VENT CON.BURNER CALCULATED HEAT LOSS ��'s�-- SYSTEM BTU RATING L�U� MISC. � �/� !f INSP. ROUG1i IN FINAL Q' c� �y EST. COST y�'4�• PERMIT FEES G1 ,�`�' DATE PD / 9)'� REMARKS