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Home My WebLink About0027687-HVAC (furnace) � CITY OF OSHKOSH N°_ 27687 . `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - > ADDRESS `f y� � �� /�U�i PLAN NO. OWNER�,/1/ /L4�"�/ t;J DESIGNER USE/NATURE OF WORK �aC�' a � � ' � c � BUILDING CONTRACTOR ' Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��"rf'!'ta�� Heat � A/C ❑ Vent ❑ Fuel/System �� Heat Loss��i�� 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 $�l�- �`� Permit Fee Paid $ �'G� �� Park Dedication $ ISSUED BY Date�7��2 Final/O.P. c�� "-`�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE G"�_ � �I/7�HZ- AGENT NER �-DATE ADDRESS TELEPHONE# � APFL DATE_��/,�/-�!�i PERMIT i10. � 7G� � ADDRESS �f�,`3 G(/ �� /� � (1WNER _ .�!_ �`f/' �/�'I NA'NRE OF WORK ��11t'LE �G/"/?QG,� HEATINC CONTRACTOR �``T��h �� FUEL: � OIL ELEC. SOLAR SOLID � ` CONDITIONING ORCED AIR H.GI. ELEC. BASE. STEAM � ' SYSTEM RADIANT SUPPL. A ( S t ` GNIM'IEEY: "B" DIRECT VENT CON.BURNER e ` CALCULATED HEAT LOSS � ` SYSTEM BTU RATtNG �d l'/`r/`� � � AfISC. ' � INSP. ROUGH LN FINAL � � EST. COST �/O�O .cb PERMIT FEES �Z(� � c� DATE PD / � � � 1tEMARKS � � E � € a � � �