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HomeMy WebLinkAbout0043028-HVAC (furance) �j?1'� No� - 43028 � CITY OF OSHKOSH `' PERMIT � APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS c� � 7�� PLAN NO. OW N ER _�1',�19LlJlt/���l�G�,e vi�Jlt U r'�" DESIGNER USE/NATURE OF WORK � � r'K�� '� T— BUILDING CON7RACTOR ; Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR '� m jN��5-��� S =�� �- f1Z C– � Hea� � A/C ❑ Vent ❑ Fuel/System �� Heat Loss ��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 $ iSSUED BY Date �,�f'�����y Final/O.P. in the performance of this work I agree to perform ali work pursuant to rules governing the described construction. „� ��//�/9y L �`� SIGNATU�E � AGENTiOWNE OATE ADDRESS ` ` � �3 �� S � � TELEPHONE s � �s � APPL DATE ��//� '��y PERMIT It0. �%��� ` ADDRESS �Iri'`� f�l.� ..-] h�!/�' - ' OWNE R �'�i9 JC��d �`�OLGI�Ci �L t/�/" — NATURE OF WORK � �G `` HEATING CONTRACTOR � r ° FUEL: AS OIL ELEC. SOLAR SO[.ID � CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM � SYSTEM RADIANT SUPPL. A ' CHIMNEY: "A" "B" IRECT VENT CON.BURNER � CALCULATED HEAT LOSS �?"'��t�SYSTEM BTU RATING `7��1 r�,- _ MISC. �7 �� INSP. ROUGH IN FINAL / EST. COST �`j-G'� _�� PERMIT FEES � 7.C'� DATE PD�: 7 REMARKS ; l' a