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Home My WebLink About0021609-HVAC (furnace) � CITY OF OSHKOSH N°_ 21609 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG �ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �/' 9 � ,�j �,�U `L' PLAN NO. OWNER �7 i � � � DESIGNER USE/NATURE OF WORK_��4�'� �tirh � c � S�� : BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �-t 5 �._, ��/7��1 � Heat '� A/C ❑ Vent ❑ Fuel/System /�-�- Heat Loss �' �r';sT 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 $� ��D • �� Permit Fee Paid $ 3v-��`"� Park Dedication $ ISSUED BY t Date�/�n�Q � Final/O.P. �a'/l� ��O In the performance of this work I agree to perform all work pursuant to rules governing the described construction. c SIGNATURE : � AGENT/OWNER DATE ADDRESS TEIEPHONE# APPL DATE !O/��I/pp PERMIT I�O. ��Q ADDRESS �j� � � E� /�j0� OWNER /LG[i� �/�G{� ! NATURE OF [JORK Q v !�G � HEATING CONTRACTOR �(J� � FUEL: GA OIL ELEC. SOLA SOLID CONDLTIONING �RCED AIR H.W. ELEC. BASE. STEAM � SYSTEM RADIANT SUPPL. A C VENT CHIMNEY: "A" "B" DIRECT VENT CON.BURNER CAI.CULATED HEAT LOSS �jo<<S,� SYSTEM BTU RATINGGO�-j}-�.p MISC. � INSP. ROUG1i �N FINAL p Qv EST. COST �;��_t�[� PERMIT FEES ',� . ci-�J DATE PD O REMARKS `;