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Home My WebLink About0019040-HVAC (furnace & a/c) /� CITY OF OSHKOSH N°_ 19040 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [�f ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS��,� � w �,� �� PLAN NO. OWNER� � �a�/L° !� ' DESIGNER USE/NATURE OF WORK Q �/ � ' .� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit : HEATING CONTRACTOR C�� << �' /`� � Heat �A/C (�j Vent ❑ Fuel/System /�'� Heat Loss,��/= ✓ BTU'S p � �� --�� ` ELECTRIC CONTRACTOR r 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 $ ��ermit Fee Paid $ � � �� Park Dedication $ ISSUED BY Date � �-�� y� Final/O.P. � � �j' /d In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ; • SIGNATURE A ENT/OWNER DAT ADDRESS � ��s- 6s�b5' TELEPHONE# k � APPL. DATE_ I�//��/QD PERMIT 1t0. /9D �D � � f ;� � � ; aDnzt�ss I� � 7 �' 7�1-r �-- � � � oc+�NER — C�Ct � ; € ' NATURE OF WORK Q f� ��`�� j € � � € ' HEATZNG CqI1TRACTOR :�� q,,_ ,t� � F ° FUEL: G�,S OIL ELEC. SOLAR SOLID � � �� C�NDITIONING RCED AIR EI.W. EI.EC. BASE. STEAM p SYSTEM RADIANT SUPPL. C VENT � f ' CHIMNEY: � � ��B" DIRECT VENT CON.BURNER � CALCULATED HEAT LOSS �fc� 'S`�_SYSTEM BTII RATING G £ MISC. � ' C � � INSP. ROUGf� IN FINAL EST. COST '��,. � pERMIT FEES DATE PD q � � eZE:�fARKS � `s i � �. t: i • �