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Home My WebLink About0011413-HVAC (furnace) � CITY OF OSHKOSH No 11413 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS f�� ! �/"/ � PLAN NO. OWNER S��G�� ,KUG!/ i/�C/� DESIGNER USE/NATURE OF WORK Q��' Ur' �ZC� �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � `~ '' ,- � G � 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 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 E,� `� Date �� q Final/O.P.�,�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �.. i � SIGNATURE � � AGENT/OWNER D ADDRESS l � �� , TELEPHONE� � PERMIT N0. �1��/ ,�� APPL. DATE �//� 9/�i,�_ s i ADDRESS�� Gv. Z� j�' � � OWNER �,��(fG� ,�-Cr i, OCv:�� ' � k � NATURE OF WORK � � , G � ? �� HEATING CONTRACTOR �p� ,1�2G>�1�L� S . �1 �� FUEL: AS OIL ELEC SOLAR SOLID � � � , � CONDITIONING�ORCED AIR H.W. ELEC. BASE STEAM � � � SXSTEM GRAVITY SUPPLEMENTARY AIR COND. � � CHIMNEY: "A" "B" IRECT VENT CON. BURNER � CALCULATED HEAT LOSS � '�7`' SYSTEM BTU RATING��JT/� � MISC. � � � = INSP. ROUGH IN FINAL � � � EST. COST��ERMIT FEES�DATE PD /" � � � � REMARKS � , �. � � � j # � � �