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HomeMy WebLinkAbout0021059-HVAC (furnace) � CITY OF OSHKOSH N° 21059 `' PERMIT - APPLICATION AND RECORD TYPE: BIDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� � G GkSpL'� �r' � PLAN NO. OWNER Td/j'7 ��/ �Z- �/�' DESIGNER USE/NATURE OF WORK r�-�17/Q�G f(Jr'/Z L1 C � �/. r ��'s BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR +�° � Heat � A/C ❑ Vent ❑ Fuel/System /K — Heat Loss ��6 ��T 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 $ IS�UED BY `�� Date <<'��"/QG Final/O.P. l����4G In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE � Q �— AGENT/OWNER DATE ADDRESS TELEPHONE# � APPL. DATF�_---�f-`�-7�,��--PERMIT t(0. ���DS ��_ € ; � � A6�Y�aS- � � � 0[JNER �rJ-j �v TZ�� ; /` NATURE OF WORK , �v •� � � < ; � � HEATING CONTRACTOR (�(j es ��y �7� ' FUEL: � OIL ELEC. SOLAR SOLID ; :1 E f CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM x SYSTEM �IANT SUPPL. A/C VENT � � CHIMNEY: ' "B" IRECT VENT CON.BURNER � CALCULATED HEAT LOSS ��C�`� f SYSTEM BTU RATING d �� ` ; MISC. ` ; INSP. ROUGH IN FINAL �'i(� a EST. COST���_ C�`� PERMIT FEES ,�l� _ rr� DATE PD p � � � � REMARKS ; _ �