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HomeMy WebLinkAbout0047879-HVAC (furnace & a/c) � CITY OF OSHKOSH N° ^ 47879 � PERMIT - , APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS l�� ? f-v ���ll� PLAN NO. OWNER k/a/ L� t /` �/� h DESIGNER USE/NATURE OF WORK /�f t�° /—(�!"sZG C (�� BUILbING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height e . Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ��'�7 6/7 S/ . ��✓ /�p h C� Heat � A/C ❑ Vent ❑ Fuel/System ,�� Heat Loss L-��� �� 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 $ �G ��� Park Dedication $ ISSUED BY � Date /�����S.�r FinaUO.P. �����9 S : �n the pertormance of this work I gree to perform pursuant to rules governing the described construction. �'<��" �. SIGNATURE 4���� G' � � AGENT/O E pq� ADDRESS_ ��` % � I � p���U ��(� TELEPHONE� APPI� D�TE 1�,�� �5� PERMIT n0. / 7 ��/ ADDRES� �II 7 � � �/l� ��� --- OWNER � �,LCI�P /�-1,U��'�� 5'�h -- NATURE OF WORK QC �r � {�' HEATING CONTRACTOR � � � . � h FUEL: � OIL ELEC. SOLAR SO[.ID CONDITIONING RCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A CHIMNEY: "A" "B" IRECT VENT CON.BURNER CALCULATED HEAT LOSS �'�,��T SYSTEM BTU RATING 7�j, �`O MISC. INSP. ROUGH IN FINAL S EST. COST���i'B��+ PERMIT FEES ��G`P� DATE PD/O�' REMARKS