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HomeMy WebLinkAbout0022494-HVAC (furance) � _ CITY OF OSHKOSH N°_ 22494 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � �� lg"//L PLAN NO. OWNER ��L�P��/`5 �t-C.�l I�`� DESIGNER USE/NATURE OF WORK / �� � f? �-� � 'z° � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR C. G / G_ � Heat (�j A/C ❑ Vent ❑ Fuel/System /��� Heat Loss �5'`j�S � BTU'S :�� r/`D`-�-� T ?` f ELEC`TRIC CONTRACTOR Ele�tric 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 $ �� ��i� Permit Fee Paid $ �'�� � � Park Dedication $ ISSUED BY �,��`(.� Date ���,/'�l� Final/O.P. _ 3` �`7/ In the performance of this work I agree to perform alf work pursuant to rules governing the described construction. SIGNATURE � h�U+v�'�`^� GENT/OWNER DATE ADDRESS ' TELEPHONE# APPL. DATE_�/��� PE�MIT N0. �� ��L� a�Dx�SS �c� i�c.� �J� r.� �l�en ,� � . � Ot�tER ,�i'l'�1'� L°/"S /�- f � '7�� vANRE OF WORK Q�• Ci/'yl�' � HEATING CONTRACTOR �G h O T�-r �G �f"i� � FL'EL: G�. OIL ELEC. SOLAR SOLID C�NDITIONING ORCED AIR H.�,1. ELEC. BASE. STErLK SYSTE':�1 RADIANT SUPPL. A/C VENT CHI�SNEY: ' "B" DIRECT VEVT CON.BL'RNER CaI.CULATED EIEAT LOSS ��o�`,.% SYSTEM BTU RATIVG /�Z', U2'.�`t� wISC. —' I�ISP. ROUG�i IN FZVAL � EST. COST � �C.� ,.�iy PER`�tIT FEES f� r/� DATE PD �',� / g' �:1ARKS