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Home My WebLink About0041147-HVAC (furnace) � CITY OF OSHKOSH N� 41147 _ � PERMIT - APPLICATION AND RECORD ' TYPE: BLDG ❑ HTG j�f ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESST� L� ��v� PLAN NO. OWNER x- e�� S DESIGNER USE/NATURE OF WORK � /�G C� �!/Y`K-!�r'- °� BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit . HEATING CONTRACTOR��j'1't�1-;5,�'S�L� 5 9� � � 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 _SP —Ur —Storm Sewer —Sink _LTub _Eject —SS —Water Other � � FEES: Valuation $ Permit Fee Paid $ � �•� � Park Dedication $ ISSUED BY Date�, �Q y FinaUO.P. R �� c�7 In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. � SIGNATURE v_}?��"-- AGENT/OWNER DATE ADDRESS ` � � � � �� .� s�� ` TELEPHONE M APPL DATE�I�7/�y PERMIT t(0. `�//�/7 : ADDRESS l0 3� cv ,�� l/� (riiNER I�L°�� lJ L'i !�I S � NATURE OF WORK �t C � ��-v1��a�� HEAT,jNG CONTRACTOR Og��s S S-�N � � y� A-!� F'UEL: AS OIL ELEC. SOLAR SOLID CQNDITIONING �RCED AIR H.W. ELEC. BASE. STEAM SYSTElt RADIANT SUPPL. A ' CHIMNEY: "A" "B" IRECT VENT CON.BURNER . CALCULATED HEAT LOSS �y�``5�- SYSTEM BTU RATING G_U_lX�O MISC. �- INSP. ROUGH LN FINAL /� ` EST. COST � ��b. PYJ PERMIT FEES f�..c�p DATE PD / Q ' REMARKS