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HomeMy WebLinkAbout0003149-HVAC (furnace) � _ CITY OF OSHKOSH No _ 03149 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � / ` ,TG �C SO/'� �� PLAN NO. OWNER�i 1')') �G C�/' / f? �/ DESIGNER USE/NATURE OF WORK G� !i �i � �C� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEA�ING CONTRACTOR� G1�"'�TTV�1 : � Heat [� A/C ❑ Vent ❑ Fuel/System � �' Heat Loss�� 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 Dedication $ ISSUED BY _ � , Date �, ��/�/ Final/O.P. �� 9��7 In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE //��I� t�' A NT/OWNER DATE ADDRESS TELEPHONE# PERMIT v0. ���� y��_ APPL. DATE. AI,IDRESS � _ ; Ot�NER , NATURE OF WORK �� , .� HEATIRG CONTRACTOR � FUEL: �� OIL ELEC. SOLAR SOLID CONDITIONING ORCED AIR H.W. EI.EC. BASE. STE'r1.�f SYSTE:� g,r�IANT SUPPL. A/C VENT CHIMNEY: ��A�� ��B�� DIRECT VENT CON.BURNER CaI.CULATED HEAT LOSS �C' � ? SYSTEM BTU RATING � MISC. INSP. ROUGFi I:1 FINAL EST. COST� . °�PERMZT FEES ?j �. DATE PD / Ry�.SARKS �