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HomeMy WebLinkAbout0021045-HVAC (furnace) /� CITY OF OSHKOSH N° 21045 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` ADDRESS ��� �• (L� �v� PLAN NO. OWNER pl!'� O�S�r� %G!%� DESIGNER USE/NATURE OF WORK /Q�LL-° G' %14��- �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � � � Heat � A/C ❑ Vent ❑ Fuel/System � Heat Loss��<<S� BTU'S 1i0. r/`G`� (% 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 $ �• � Permit Fee Paid $ � �• G� Park Dedication $ ISSUED BY Date�T/� ` Final/O.P. �� /�°l p� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. / SIGNATURE �� � AGENT/OWNER DA E � ADDRESS ' TELEPHONE# � � APPL. DATE �/l0/QO PERMIT ItO. ��D�,`J^ [ aDDt�SS G" c�. � E � a �� [1 C ,� � �L � � D��TNER - ; 1 f� . � NATURE OF WORK Q L� -�� ,� � � HEATINC CANTRACTOR � � FUEL: � OIL ELEC. SOLAR SOLID � CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM � SYSTEM RADIANT SUPPL. A/C VENT , � CFiIiKNEY: ��A�� ��8�� IRECT VENT CON.BURNER � CALCULATED HEAT LOSS SYSTEM BTU RATING �r'l�,� � :�IISC. � INSP. ROUGH IN gIN.�I, p � EST. COST ���"Y • G`�' PERMIT FEES '3�. G5-� DATE PD O p � �E:4ARICS i � � � �