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0006786-HVAC (furance)
� CITY OF OSHKOSH N° 06786 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS JI�,� �� ��/___r%�j 1 ' PLAN NO. OWNER_ W�4—��l lI�J��/ �� DESIGNER USE/NATURE OF WORK Q�� � � `' E ; BUILDING CON7'RACTOR Size Sq. Ft. # Rooms # Stories Height — Foundation Class of Const. Occupancy Permit # HEATING CONTRACTOR ' Heat � A/C ❑ Vent ❑ Fuel/System —U`" Heat Loss�x���✓' � 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 4 Final/O.P. �" � � `g� In the performance of this work I agree to rform II work pursuant to rules governing the described construction. 1 SIGNATUR AGENT/OWNER D E ADDRESS TELEPHONE# � � PERMIT N0. �� 7`S�� APPL. DATE ADDRESS l�y„Z �j, 'J �j OIiNER LUrh� M.�i l�'�'! T�— NATURE OF WORK � � � HEATING CONTRACTOR LG��S S�iT�N��� FUEL: � OIL ELEC. SOLAR SOLID CONDITtONING �ARCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHIMNEY: ' "B' DIRECT VENT CON.BIJRNER CALCqLATED HEAT LOSS ��s��_SYSTEM BTU RATING f��'J�,� MISC. ' INSP. ROUGH IN FINAL EST. COST/ 9L'-p. � PERMIT FEES i9 G DATE PD REHARK5