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Home My WebLink About1995-HVAC (furnace) J�� CITY OF OSHKOSH N° �.7 � �� PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG �' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAiN HEIGHT - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - ADDRESS ��/� � �'"� ��' �� t' PLAN NO. OWNER �� L �� /IS/ DESIGNER USE/NATURE OF WORK��'J�/� t e� FL / %/<E L' BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit �EATWG CONTRACTOR ��/�- � TG � �C'�� Heat [�' A/C ❑ Vent ❑ Fuel/System �� ' Heat Loss � �`i�� 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 1 � / FEES: Valuation $ iC��- C�� Permit Fee Paid $� /� ` �� Park Dedication $ ISSUED BY �f� �� Date�C�� Final/O.P. /D � 2 `�� %S In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� --�/� - � '"� C � � AGENTIOWNER DATE ADDRESS � ��.�� "� TELEPHONE# s'�/,j�J✓`� PERMIT tt0. �/< ��/ ' APT'T. DATE r r� '•.� ADDRF,SS ��I � �.� � t'i ' f �i �'S. 7" L�1C'� � OWNER �G'!'h 'c1��F7f-: � t_�. i��ri r. � � t . � NATURE OF WORK �� i'r�� 5�7 `t ��<<� Ye.I/ /U�E cc f� � .i a c� Y �!. c�• HEATING CONTRACTOR /�� j', i%<<7-i�G'.ri FUEL: AS' OIL ELEC. SOLAR SOI.ID CDNOITIONING �'FORCED AIR H W. ELEC. BASE. STEAM SYSTEPt RADIANT SUPPL. A # CHIMNEY: "A" "B" �bIRECT VENT CON. BURNER ; CALCULATED HEAT LOSS G E(�i r SYSTEM BTU RATINC l� L'CG, MISC. � INSP. ROUC}i IN FINAL c� o��( y'� EST. COST �j�'S�- ��<� PERMIT FEES 1L. c'f DASE PD/C" / �19,j � REMpRKS