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HomeMy WebLinkAbout0021187-HVAC (furnace) CITY OF OSHKOSH N°_ 21187 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS a" 9') 7 / 7 /n e e (/D PLAN NO. OWNER fG> Mr Pa y90cv DESIGNER / USE /NATURE OF WORK AZ-piece r/1QC 5 /, C_"e4v4.7) BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR FS G S Heat [ A/C ❑ Vent ❑ F uel /System / u-� Heat Loss L k 7 BTU'S 7S' Dv-e> ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ 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 LTub Eject SS Water Other / FEES: Valuation $ 09‘40f • C't: L Gr Permit Fee Paid $ �J t Park Dedication $ ISSUED BY r Date Final /O.P. /a /1V/9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / O /�/ / Cif AGENT /OWNER ,J ��TE ` ADDRESS / O� / / �'�fv'C — 01-4 -h-eL TELEPHONE # APPL DATE 14� ".7,747 PERMIT N0. "/6 O 7 ADDRESS e`3 / 2 1V1 eN Ua OWNER / NR / /?P Ll✓ NATURE OF WORK / re / Fi rsl 4 cL' HEATING CONTRACTOR S e5C4/ FUEL: 46, OIL ELEC. SOLAR SOLID CONDITIONING CeaRCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHIMNEY: "B" DIRECT VENT CON.BURN CALCULATED HEAT LOSS /� ■�c4 l SYSTEM BTU RATING D MISC. INSP. ROUGH IN FINAL ) EST. COST ; PERMIT FEES 'I/_'D DATE PD /p y /947 REMARKS