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HomeMy WebLinkAbout0007663-HVAC (furnace) � _ CITY OF OSHKOSH N°_ 07663 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ; ADDRESS�_�� LU• � � ,J�D�'-' PLAN NO. OWNER � �— DESIGNER USE/NATURE OF WORK 4 L'!G� , � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit $ HEATING CONTRACTOR ��/7l�..li'_�l1 '�� �—..— � Heat� A/C ❑ Vent ❑ Fuel/System ��• Heat Loss ����s� BTU'S � v� 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 $ � � ?�. !/�O Permit Fee Paid $ �-�• C�-O Park Dedication $ ISSUED BY � - C� Date FinaVO.P. `)'����� In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. C SIGNATURE � �� � AGEN N�R DATE � ' ADDRESS� �� -� � ���� � �.5 " ��(S TELEPHONE# � PERMIT N0. �'�GG 3 APPL. DATE ��`y/�'�� �D�SS yy� (,v.� �_ OWNER �� p.L� � 6 L� L° NATURE OF WORK Y�/l1C c° „F�i r n 4� � 7 l�� HEATING CONTRACTOR ��C'j h j��� FUEL: � OIL ELEC SOLAR SOLID COIdDITIONING�'ORCED AIR H.W. ELEC. BASE STEAM SySTEM GRAVITY SIIPPLEMENTARY AIR COND. CHIt�IldEY: "A" "B" RECT VENT CON. BURNER CALCULATED HEAT LOSS,�'�q r5'Op` SYSTEM BTU RATING�� ' MISC. INSP. ROUGH IN FINAL � EST. COST��]p. �ERMIT FEES �,/� DATE PD REMARKS