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Home My WebLink About0012787-HVAC (furance) � _ CITY OF OSHKOSH No � 2�g� PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG �' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS—�� J � �,� // � PLAN NO. OWNER /"!" � G`/ DESIGNER USE/NATURE OF WORK U'��lGr�°- �Uy�� A c £� S'. � ��5' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat � A/C ❑ Vent ❑ Fuel/System ��- Heat Loss �= 1�J�.%' 7 BTU'S �� ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Votts 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 Dedicatio $ ISSUED BY Date � Final/O.P. '�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� SIGNATURE �� - %'� y � AGENT/OWNER ATE ' ADDRESS TELEPHONE 8 � P�RMIT NU. ��'7 ,�7 .APPL. DATE ��/D�� -- , � ADDRE S S /�� . �� /„�-�� t � OWNER � ��-G,� � i ;. � NATURE OF WORK �� /��Z,lc v� # � � HEATING CO CTOR_�/.,�T ��,p � � --T .� ? � FUEL: GA OIL ELEC SOLAR SOLID ; S f £ � CONDITIONING �RCED AIR H.W. ELEC. BASE STEAM � � SXSTEM GRAVITY SUPPLEMENTARY AIR COND. ! � E � CHIMNEY: A" "B" DIRECT VENT CON. BURNER � � CALCULATED HE LOSS��j?�y` SYSTEM BTU RATING�� MISC. � INSP. ROUGH IN FINAL � ' � :� EST. COST� , t�`CJPERMIT FEE9p ' � ATE PD � � REMARKS ' � i 4 j �. r '> ° t k