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HomeMy WebLinkAbout0012689-HVAC (furnace) � CITY OF OSHKOSH N°_ 12689 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG"'� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT / - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �o� � � �r- ��i � PLAN NO. OWNER �—�1' /� �/d��' DESIGNER USE/NATURE OF WORK �U : BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATWG CONTRACTOR � ` Heat � A/C ❑ Vent ❑ Fuel/System �� Heat Loss ��( �.T'S! BTU'S � � 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 $ (� ��• � Permit Fee Paid $ � Park Dedicati n $ ISSUED BY � Date FinallO.P. �/�� �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� SIGNATURE �� AGENT/OWNER D ADDRESS TELEPHONE# Y�KMl'1' NU. �iz �rrL. liei�_"�L�,_'? ADDRESS rp� � /�ts ���_�,��-� �P !._ OWNER �1'�� h �;��� NATURE OF WORK �c-� /'� � c HEATING CONTRACTOR ����l� — ���T`I �� FUEL: GA OIL ELEC SOLAR SOLID CONDITIONING �RCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND. CHIMNEY: " ' "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS ��+s� SYSTEM BTU RATING��i�� MISC. INSP. ROUGH IN FINAL .� ° EST. COST ,�i1�'pp.�/`fJPERMIT FEES � �. T PD REMARKS �� � � �