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HomeMy WebLinkAbout0044815-HVAC (furance) �''�'� � CITY OF OSHKOSH N°_ 44815 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � � /�,;C,�"�/� PLAN NO. . OWNER /-Li�K � ��!-Zt�/ T�- DESIGNER USE/NATURE OF WORK�l a<� /" �/"/'l��-�s BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR� 'n ��• ��`�'��0 � � Heat (� A/C ❑ Vent ❑ Fuel/System�,��' Heat Loss �?�/r! BTU'S � , . ELECTRIC CONTRACTOR � Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fxtures 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 $ ��h GG- � Permit Fee Paid $ 3� � �� Park Dedication $ ISSUED BY � ,/�' Date���9✓`� Final/O.P. �� �����J� In the performance of this work agree to perform ursuant to rules governing the described construction. .��� � ���'� 3' 4 SIGNATURE � � AGENT/OW DATE ADDRESS �� � � -(''' - �3�U.7�� TELEPHONE� � � � APPI, DATE"�7�'"�`''� PERMIT IIO. / �OI� ' :� f �' # ADDRESS y� l� (.�� .7`� �'E,'. ._ � � OWNER ``/{K f? SG�t✓I�Z- � � � / � � NATURE OF WORK { C � UY'KQ L' '�—° � �_ HEATING CONTRACTOR T� � / �/ - Cc s O € � FUIEL: �l OIL ELEC. SOLAR SO�ID k _� � `= CONDITIONING RCED AIR N.W. ELEC. BASE. STEAM � SYSTEM RADIANT SUPPL. A � f ; CHIMNEY: "A" "B" IRECT VENT CON.BURN6R � i CALCULATED HEAT LOSS �Zc�`Sj' SYSTEM BTU RATINC � } ��T'�'-`� � MISC. � � INSP. ROUGH IN FINAL � 9 — EST. COST�y�,�j� (�l PERMIT FEES �/� f� DATE PD %'— � � REMARKS � ; � ' --.�.�__ � a �._ — _ _.__._ __ __ _. _ g