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0033510-HVAC
� E /� CITY OF OSHKOSH N° 33510 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS �`' ��� �/�h/c[ f"L �'� PLAN NO. OWNER_ � �'/�/ {/�/� '�'H DESIGNER USE/NATURE OF WORK�"v I`�``� �iJ7�_. BUILDING CONT'RACTOR '�' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit f �HEATING CONTRACTOR �'e�� �L'/' Heat � A/C ❑ Vent ❑ Fuel/System „/!L-� Heat Loss BTU'S�� �h9`� 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 $ r �•- ��� Park Dedication $ f � - s C�3 ISSUED BY Y "'� Date j Final/O.P. � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. , ' � s�1 SIGNATURE L/�l� 1/ AGENT/OW R -�DATE ` � ADDRESS �` / �i��� 7 �, TELEPHONE# APPL. DATE ��� �< �� PERMIT I�0. �l��� aDDx�SS ��O/ �/�h�� �� � OtJNER �� �'I / GGr� �'�1 1-!�!i/� ``l//yi � NATURE OF WORK . , G e !�i� HEATING CDAITRACTOR �` L�L� G' /�- FIJEL: AS OIL ELEC. SOLAR SOLZD � CONDITIONING ' ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIAI�IT SUPPL. A/C VENT CHI:KNEY: "A" "B" IRECT VENT CON.BL'RNER � CALCULATED HEAT LOSS 1�S �-jj�SYSTEM BTU RATING �� �'�-�p � :�IISC. INSP. ROUGH IN gINAI, !'� � EST. COST �-3/�• c� PER.*tIT FEES �y..v�p DATE PD � 9 ��IARKS � � �