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HomeMy WebLinkAbout0038185-HVAC (furnace) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ b~ 38185 TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT ADDRESS 19/J. an Nc. CVY'dy sY/ 5/?ah hap e> r PLAN NO. OWNER DESIGNER USE/NATURE OF WORK (2e-flace PVrf4QCe ~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const HEATING CONTRACTOR We1 J e y Hf-y q Heat ~ NC D Vent D Fuel/System At... 6:.. Heat Loss" E'fi l') J BTU'S 7j;{J-(?-O " ~ ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D 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' _ L Tub _ Eject _SS _ Water Other FEES:" Valuatio~ 0-t!J ISSUED BY / Permit Fee Paid $ ~6 .. u-eJ Date p-/ ft 7/~Y Park Dedication $ Final/O.P. q.-,4- qi+ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE h/14~ ~. AGENT/OWNER ?-/~:t.!~ ADDRESS TELEPHONE # APPL DATE ;'/,,;L/9&:/ PERMIT ~o. ~?'6>r ADDRESS /o/'I?-' He {" C/rdy OWNER / .#201"1 1 Pit( 11 bu V ~.J-'? NATURE OF \-10RK ~lace;:P rU4-.e e HEATING CONTRACTOR. W.,g-7 IV? Y U--1j' FUEL: OIL ELEC. SOLAR SOLID CONDITIONING ~ORCED AIR SYSTEM RADIANT H.W. SUPPL. ELEC. BASE. A C STEAM CHIMNEY: "s" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS~Jt71 SYSTEM BTU RATING 7~ ~ MISC. INSP. ROUGH IN EST. COST r:P tCk1~. c;/-e) REMARKS FINAL fit t{J'i'f PERMIT FEES ~tp eO(!:) DATE PD ~/:7 ~/~