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HomeMy WebLinkAbout0034407-HVAC (furance) ��� CITY OF OSHKOSH N°- 34407 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS— __�f� W ��J PLAN NO. OWNER ���1�I , GK �t���' DESIGNER USE/NATURE OF WORK IQ-G� F�rK�C� /�/ f BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit . , HEATING CONTRACTOR����'L•� _/t?vl �� Heat ['�► A/C ❑ Vent ❑ FueUSystem �-� Heat Loss 7�/,�— BTU'S 1 ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fi�ures 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 $ ��G`'� --�'�`'d Permit Fee Paid $ ��� �O Park Dedication $ ISSUED BY ��f� Date L�/.2��y� FinauO.P. �j%�9.3 ' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER ATE .. r ADDRESS Z3�� � �O TELEPHONE#E : APPL. DATE_ �l��/��q3 PERMIT N0. �y�� 7 � ADDRESS Ci�G Gv 7 J�l/E � OIJNER_ n,va �j �jalJ��'' NATURE OF WORK a� Q�,� �HEATING CONTRACTOR � FUEL: S OIL ELEC. SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHIMNEY: ' ' "B" DIRECT VENT CON.BL'RNER �: � CALCULATED HEAT LOSS��p`S�' SYSTEM BTU RATING � :�IISC. INSP. ROUGH IN FINAL EST. COST `j��'(�-p_ �,,,,� pE�IT FEES 3�,�c� DATE PD� � � �EMARKg .�