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HomeMy WebLinkAbout0048107-HVAC (furnace)/J~~ ~ CITY OF OSHKOSH N~ ~ 48107 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~ ~ ~ ~ ~/ ~ ~z° ~ So h PLAN NO. OWNER I PGl I-~~9('! DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ~,f~S Ira ~,/ ~-- Heat ~ A/C ^ Vent ^ Fuel/System ~-~ " Heat Loss ~~` /` ~~` BTU'S ~!~ ~°l~ ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT Lav - WC - Sink - WH Sh _ FDr LTub - Disp - DW - SP - Eject WSoft - CBasin Other DF - Ur SS -San. Sewer_ -Storm Sewer. -. Water r FEES: Valuation $~~~. y'~ Permit Fee Paid $ ~~~ ~~ Park Dedication $ ISSUED BY Date `` ~©~~~_ Final/O.P. In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .e°~%G~C/ - 4 ~i AGENT/OWNER ATE ADDRESS TELEPHONE ~ APPI. DATE ~~~ T PERMIT it0. "/ ~L ~ ADDRESS ~ 3~' / ~ ~ ~~~%'~~ OWNER NATURE OF WORK HEATING-CONTRACTOR~L°'~ FUEL: AS OIL ELEC. SOLAR SOLID CONDITIONING CED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A CHIMNEY: "A" "}~" IRECT VENT CON.BURNER CALCULATED HEAT LOSS ~ ~ G ~ T SYSTEM BTU RATING 3 MISC. __ ~~ INSP. ROUGii IN FINAL ~/ EST. COST ~~~ - C~P1 PERMIT FEES~I~ ~ DATE aFMeatts