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Home My WebLink About0043269-HVAC (furnace) ~ j~ N~ .43269 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN - HEIGHT- ........................ _........ _.. - - - - -. _..... - _... - - - - - - - - - - - - - -- ADDRESS 3tJ& W ¡t{ih (~Y'f/I/1-l!7n fJopPB PLAN NO. OWNER DESIGNER USE/NATURE OF WORK Ø-ploce IVrJ1vcr' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. Þ HEATING CONTRACTOR Te n 'rh '7 'h tlù 1-, '0 i? L-- Heat IE AlC 0 Vent 0 Fuel/System /'1. G - Heat Loss E-i /5 ì BTU'S 7,- (;Ir7'-t) , ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps - Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Lav _Sh _FDr _Disp _WSoft - CBasin _DW _DF - San. Sewer -SP _Ur - Storm Sewer _Eject _SS _Water _WC _Sink Other _LTub FEES: Valuation ~. 00 ISSUED BY / Permit Fee Paid $ ß. ð: o-(? ¡ Date / /'f/9J' Park Dedication $ Final/O.P. 11- n-1.5) In the performance of this work I agree to perform all work pursuant to rules governing the described construction. / /k~~ .~ - SIGNATURE. 'C-£<'i 111/ 7r . , DATE :;3?f77ò TELEPHONE. ADDRESS APPT. DATE 1/'1/9Ç ADD~~SS :1~~ PERMIT !to. tj'f.7t f w / ~Íh /lV-I? OWNFiR La r nt ß n ¡:Þ- I'p.e NATURE OF \~ORK Y~JQCe r&/Ý"noc¿ HEATING CONTRACTOR Tenth 5ì. '5'tû't-¡'t7J? FUEL: ~ OIL ELEC. SOLAR SOLID CONDITIONING SYSTE~1 H.W. SUPPL. STEAM CHIMNEY: "A" "B" "",DIRECT VENT CON. BURNER CALCULATED HEAT LOSS L';hrr SYSTEM BTU RATING 7f}~ MISC. INSP. ROUGH IN FINAL III f.. EST. COST ~If - 0-0 PERMIT FEES;Ö: ~ REMARKS //_.....