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HomeMy WebLinkAbout0047880-HVAC (furnace) 5 °9 � CITY OF OSHKOSH N° 47880 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTC� ELEC � PLBG ❑ SIGN [] ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ f�� L� L� ,��jj �l/� PLAN NO. OWNER_ �i'�r'�C/ U/��9 �" DESIGNER USE/NATURE OF WORK Q'C� � �'��C . ,BUILDING CONTRACTOR , Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit �HEATING CONTRACT�R �L"F1 7 `r7�- S ��j� vj Heat (� A/C ❑ Vent ❑ Fuel/System_ �-�' Heat Loss_ ` ��/��� 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 _gp _Ur _Storm Sewer —Sink _LTub _Eje� _gg _Water Other FEES: Valuation $ � / � �J"� Permit Fee Paid $ ��� � Park Dedication $ ISSUED BY Date_fT� g5 Final/O.P. In the performance of this work I agree to perform al ursuant to rules governing the described construction. SIGNATURE � � S — AGENT/OWNER pA ADDRESS— (�y Q/�j�-/ a�� �-7�n TEIEPHONE# APPL DATE ��/����5� PERMIT t10. y�O U � ADDfC:SS ��7_/ _ � �(.lGC1 �lie OWNER �i��rf l// t_°6� -C�'i ���� � NATURE OF WORK ' (� �"P HEATI NG CONTRACTOR G � � T<�ti FIIEL: AS OIL ELEC. SOLAR SOLID C�NDITIONING �9RCED AIR H.W. ELEC. BASE. STEAM � SYSTEM RADIANT SUPPL. A CHIMNEY: "A" "B" �IRECT VENT CON.BURNER CALCULATED HEAT LnSS t-���'j`� SYSTEM BTU RATING�Ob;�Jr/`fl � MISC. INSP. ROUGfi IN FINAL /� �- EST. COST�G��� � PERMIT FEES ,�(� p6 DATE PD �� 9 REMARKS � �