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HomeMy WebLinkAbout0047762-HVAC (furnace)!~~'~ ~ CITY OF OSHKOSH N°- 47762 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG '~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT ~J -~^-------------------------------------------------- ADDRESS _ ~1`" ~~ ~ / ~ ~ ~"SD`) PLAN NO. OWNER ~~V ~ /IG ill hz ii DESIGNER USE/NATURE OF WORK <-,~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ~~Q 5'h2.~~ Ss°l7,S/ /' !7~-~y ~~ Heat ~ A/C ^ Vent ^ Fuel/System / Y Gl Heat Loss ~.~ ~5 ~ BTU'S ~ ~~ ~~ ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _ -BT -WH - Lav _ Sh - WC - FDr -Sink - LTub Other - Disp - DW - SP -Eject - WSoft - DF - Ur - SS - CBasin -San. Sewer_ -Storm Sewer -. Water. FEES: Valuation $ /2 ~fl -- P~ 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 ADDRESS ~\ Amps AGENT/OWNER _ ~ l D TE TELEPHONE N APPI, DATE ~/~~9 ~-~---- PERMIT Ito . y ~ 7G 7' ADDRESS ]~/ ~ ~ OWNER _ //~U ~ ~°/ YJZU ~~ NAT"JRE OF WORK ~ `' ``" HEATING CONTRACTOR ~ U N FUEL: ~ OIL ELEC. SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A CHIMNEY: "A" "B" IRECT VENT CON.BURNER CALCULATED HEAT LASS LTSOrt4'~ SYSTEM BTU RATtNG d MISC. INSP. ROUGH IN FINAL ~ ~~ - EST. COST ~~ • ~' PERMIT FEES ~5 . ~ DATE PD ® ! REMARKS