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Home My WebLink About0021044-HVAC (furnace) � CITY OF OSHKOSH N°_ 21044 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 3 3 � � J/h /�U� PLAN NO. OWNER �nG ,�G/" Qu� DESIGNER USE/NATURE OF WORK ( a��1//�!Q� �-- S � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR t° Heat � A/C ❑ Vent ❑ Fuel/System � � � Heat Loss��°�`s r BTU'S � � E�ECTRIC 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 $ � � � � Park Dedication $ ISSUED BY Date�G'/��0 Final/O.P. ��/��'��L In the performance of this work I agree to perform all work pursuant to rules governing the described construction. i SIGNATURE� 0 f � AGENT/OWNER DATE ADDRESS TELEPHONE# APP?, DATE � �'�� PERMIT I�0._ ��Oy� ADDRESS ��j � �j �� -,� � OWNER O/" G.C/ NATURE OF WORK � QC�' !`/ �If �— HEATING CONTRACTOR ��.- fLo� `� FUEL: � OIL ELEC. SOLAR SOLID CONDITIONING �'�'ORC�D AIR H.W. ELEC. IIASE. STEAM SYSTEFt RADIANT SUPPL. A C VENT CHIMNEY: "A" "B" �j�IRECT VENT CON.BURNER CALCULATED HEAT LOSS ��,�`S�_SYSTEM BTU RATING p' MISC. INSP. ROUGH IN FINAL � �Q � ` EST. COST�� _pE�MIT FEES � �, �J DATE PD l0 j- G+ ' REMARKS � .