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HomeMy WebLinkAbout0042903-HVAC (furnace)~ CITY OF OSHKOSH N°- 4 ~~U~ `' PERMIT ~ APPLICATION AND RECORD TYPE: BLDG ^ HTG '~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~'; z ~' ` !~ ~ ~ ~' l7 Z`' / ">'Cf/ `~ PLAN NO. OWNER ~ f~` /~ ~' ~/ (~/ / C~ DESIGN USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft # Rooms # Stories Height . Class of Const. Occupancy Permit ?HEATING CONTRACTOR~t' ~% L[ -- ZF.elz ~~ht'r' - !'-~~ Heat A/C ^ Vent ^ Fuel/System ~>f- ~^ Heat Loss ~- BTU'S _~.~\~f, ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Fixtures Switches Receptacles Circuits Amps PLUMBING CONTRACTOR _ BT - WH ._ Disp - WSoft -Lav - Sh _pW -DF - WC _ FDr _ Sp _ Ur - Sink ._ LTub -Eject __ SS Other _ CBasin -San. Sewer_ -Storm Sewer -. Water FEES: Valuation $ / ` C~Yj ° ~~~~ Permit Fee Paid $ ~ ~ < ~`~ Park Dedication $ ISSUED BY `-` ~ _~-` Date _ /L ~ ~~ / ~23~ Final/O.P. ~-<' ~ Z~%f 9S In the performance o this ork I agre to pe m li rk pursuant ru s governing the described construction. /v~^' r. I SIGNATURE ~~ ~~> ~i G ~ ~ , / /~ ADDRESS DATE /%~ TELEPHONE M APPL DATE ! l / I~/ ~ y PERMIT i10 . ~/' /` ADDRESS jl,~/'C 1 C ~H G`'/'n~:l~/'7 ___ OWNER ,~,j `'! a~ ~<~Gt-'G"c`n'C~9 NATURE OF WORK ~"?'Xc~ c. E_~' /Z-'/ i~ ~r f ~ - HEATING CONTRACTOR /C'r%-~~ __~t's:-'7/, ~-~ ~ °-/~~C Ls, c~<<i FUEL: A~~~~ OIL ELEC. SOLAR SOLID CONDITIONING SYSTEM CHIMNEY: "A" "B" `,[DIRECT VENT CON. BURNER CALCULATED HEAT LOSS ~ ~,~~, )'-- SYSTEM BTU RATING ~~rjr--1'` MISC. AIR H.W. ELEC. BASE. STEAM RADIANT INSP. ROUGFF IN FINAL ll~,i~G~~/y' EST. COST ~'~t'Z'. t~~! PERMIT FEES ~~~ C~ DATE PD REMARKS