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Home My WebLink About0040085-HVAC (add a/c) ,�/ CITY OF OSHKOSH N°- 4CJ0�5 � PERMIT - A,PPLICATION AND RECORD TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ 51GN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �Z /Z �'NY°1� � PLAN NO. OWNER �/3i'z0/ ,JC-Y/ I'C<�T l� � DESIGNER USE/NA7URE nF woRK ��' �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��"�l � �r' �'��'�� Heat [] A/C [� Vent ❑ FueUSystem,��'�� Heat Loss �� r BTU'S °� �� G- 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 $ �� g� + �� Permit Fee Paid $ f�� G`'� Park Dedication $ � n �, �� ISSUED BY �� Date-��1�`.�.-- Final/O.P.�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE -�"'��` - G"'�.�"`ti� ��I- �f� AGENT�O DATE /U . ADDRESS TELEPHONE S APPT. DATE � PERMIT N0. ��° �� ADpRES3 � �� `?��..��... _._.� �...._ �, .� � ��r �WNER �L?'i�e'I �Ch�IY'v� � ,.,_...__..r--_. NATURE OF IJORK ', � �lG- HEATINC CONTRACTOR ��'yl �7 1�. 5�"� �/�c� �? ... .�..� , ��.��.. FUEL: GAS OIL G,% SOLAR SO[.ID CONDLTIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SIIPPL. C CHIMNEY: "A" "B' DIRECT VENT CON.BURNER CALCULATED HEAT LOSS ��jt� SYSTEM BTU RATiNC �` �"r'' !-`!/�'fC MISC. INSP. ROUGfI IN FINAL � Q EST. COST �`�fx. ft� PERMIT FEES ��. �� DATE P�i �- � REMARKS 4 _ + I � � � I , � � I � I