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0006766-HVAC (furnace)
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06766 TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT .. .. .. .. .. ... .. .. .- .. .. .. .. .. ... .. .. .. ... .. .. .. .. .. .. -. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. i .. .. .. .. .. .. .. .. .. ... .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. OWNER 5"'flo Nad/~p7n sv- Ce:r r~1 5'JeCAJCfr Y PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK~ lac e Fvrn elL e...- . 5-FQ7p-5 BUILDING CONTRACTOR Size Sq. Ft. # Rooms #' Stories Height Occupancy Permit Foundation Class of Const. I HEATING CONTRACTOR p....-d q - /! c: n 7h e r-> !... Hea~ ~ Ale D Vent D Fuel/System jIf_k Heat Loss ELECTRIC.-CONTRACTOR e' t- 'II 57 BTU'S /~~ . " Electric Servo New D Change D Temp D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water. Other FEES, Valuation $ ~~ f7'-O Penn" Fee paid.. $ ISSUED BY . .JDate I . : l P/;:JJ g> Park Dedication $ Final/O.P. .-3 - a ~ - 8 ~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE f? 4 --::::", 1/ 1ft J ADDRESS TELEPHONE # PERMIT NO. ~t 7it 1",)- (/ /II ach '<>6 P? 5:Y . OtolNER C<< r'q / APPL. DATE IIi/X' % ADDRESS NATURe OF WORK HEATING CONTRACTOR FUEL: @ OIL CONDITIONING SYSTEM ELEC. h SOLAR SOLIO H.W. SUPPL. ELEC. SASE. Ale STEAM VENT CHIMNey: "s" DIRECT VENT CON. BURNER CALCULATeD HEAT LOSS e'L/ 5' T SYSTEMSTU RATING / t?-t::P ~ ./ MISC. INSP. ROUGR IN FINAL EST. COST 0IOL~"~ PERMIT FEES REMARKS .