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HomeMy WebLinkAbout0026794-HVAC (furnace) /� CITY OF OSHKOSH N� 26794 `' PERMIT - APPLICATION A ND RECORD TYPE: BLDG ❑ HTG ('� ELEC � PLBG � SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - -1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /i�Z (,(�� � ���� PLAN NO. OWNER /� J�_,� / C Gj , DESIGNER USE/NATURE OF WORK � ' ; � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const.__ Occupancy Permit__ � HEATING CONTRACTOR ����ry- �� i � Heat � A/C � Vent � Fuel/System�� Heat Loss � �/S'� BTU'S 0 ��" ELECTRIC CONTRACTOR Electric Serv. New � Change ❑ Temp � T e YP Volts Amps Fixtures Switches__ Receptacles__ Circuits PLUMBING CONTRACTOR . —BT —WH —Disp —WSoft —CBasin -r-Lav —Sh _pW —DF —San. Sewer —WC —FDr _SP —Ur _Storm Sewer —Sink _LTub _Eject _SS —Water Other FEES: Valuation $1 D�� G`-�� Permit Fee Paid $�� C�`�, ISSUED BY ����`�''i Park Dedication $ Date ��� /� Final/O.P._1-/ 3 -�� . � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGE T/OWNER / � DAl ADDRESS TELEPHONE# APPL. DATF l�f�J�4� PERMIT I�0. /�(� 7 p� t►�x�s=_._- C/✓`� (-v 7�i -/5�v� OWNER �j�-{�'l�j/1 ot_ ,k (/ ��!/j NATURE OF WORK �QG� �C- o� HEATING CONTRACTOR G(/�ps�p� 1_Z`"7 FUEL: CF�A� OIL ELEC. SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. IiASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHIMNEY: "A" "B" �IRECT VENT CON.BURNER CALCULATED HEAT LOSS �lp�`5 J"' SYSTEM BTU RATING O MISC. INSP. ROUGH IN FINAL � EST. COS"T��Q�Q , (�� PERMIT FEES f�-J. r�� DATE PD/ 3o Q/ REMARKS i � �