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HomeMy WebLinkAbout0016598-HVAC (furnace) /� CITY OF OSHKOSH N°_ 16598 : `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �f ��' � / //Z /,�-L�-�- PLAN NO. OWNER 7Y�NO/� t///"�C C.(/VJ DESIGNER USE/NATURE OF WORK �U!^ c ^7',� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �/�./��Ovir l.7��G7�/�/tg ' � Heat� A/C ❑ Vent ❑ Fuel/System /u-C` � Heat Loss � �i`� BTU'S �� �� ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps , /� Fixtures Switches Receptacles Circuits C"�"� 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 $ ���5- � Permit Fee Paid $ �g' � Park Dedication $ ISSUED BY �� Date yL���� Final/O.P. ?�l�9� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� � SIGNATURE �''�T �d� � Lf �' AGENT/OWNER TE ADDRESS �0 �U �� �3��-- ��' 3 � v TELEPHONE# APPL. DATE ' 1 � PERMIT NO. /�.j�� �x�.Ss�aar.. ���� ��-' ' �h ���— 0[JNER f_�`�i�.�"�� �1�/�'c�[.�i{ J NATURE OF WORK �����,�+«- F�-�/ 'd1 4C -�' HEATING CONTRACTOR GL�� �'`G'�j"7 /�r' �i fIt FUEL: � OIL ELEC. SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM �IANT SUPPL. A/C VENT CHIMNEY: ' "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS��,5,7`- SYSTEM BTU RATING d.� l,� MISC. —'T INSP. ROUGH IN FINAL � O EST. COST 4'/�,tf f; [.�`O PERMIT FEES / � vp DATE PD� � REMARKS '