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HomeMy WebLinkAbout0010198-HVAC (furance) � _ CITY OF OSHKOSH No 10198 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG�ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ' �> — ��'�/� PLAN NO. OWNER � DESIGNER � USE/NATURE OF WORK y"'C`'�� BUILDING CONTRACTOR Size Sq. Ft. # Roo s # Stories Height Foundation Class of Const. Occupancy Permit HEATING CQNTRACTOR i Heat�A/C ❑ Vent ❑ Fuel/System � ✓� Heat Loss S�� BTU'S '—"�— ELECTRIC CONTRACTOR � EleCtriC Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits � r------- PLUMBING CONTRACTOR —BT —WH —Disp —W —CBasin —Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other FEES: Valua S � — Permit Fee Paid $ � Park Dedication $ : ISSUED BY Date ��< �� Final/O.P. �C��6 In the performanCe ot this work I agres to perfOrm all work pursuant to rules governing the described construction. SIGNATURE C���� �4C2.e�f' ��� ��S � AGENT/OWNER DATE ' � ADDRESS I O 3 3 � �� A�e 1ZZ—�H yS TELEPHONE;Y PERMIT N0. �Ol�� APPL. DATE ���� ADDRESS �� �3 �(/ 7� S� OWNE Q ��r�G,�! � /�/ �f�! NATURE OF WORK ���f���_�i/^N�c � HEATING CONTRACTOR �C.(i �� �/�' �'! FUEL�� OIL ELEC SOLAR SOLID � CONDITIONING�FORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND, CHIMNEY: ' "8' D ECT VENT CON. BURNER CALCULATED HEA LOSS_�c��SYSTEM BTiI RATING C� � � MISG. INSP. RO bGH IN FINAL (p / � EST. COST lG��-rX�PERMIT FEES r� D TE PD � � � REMARKS � i , G %. �-k