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Home My WebLink About0020346-HVAC (furnace) /� CITY OF OSHKOSH N° 20346 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ///- � � T�G/� Zr��'7 ��- PLAN NO. OWNER �� DESIGNER USE/NATURE OF WORK _� Q!�° �i%/�" �c �-. / � �'c^ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �/ �;�/��'1' Heat� A/C ❑ Vent ❑ Fuel/System � K Heat Loss f%X/�S��* BTU'S ,��`�- G� 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 y Park Dedication $ FEES: Valuation $ �G��`�- �a Permit Fee Paid $ � �� ISSUED BY � Date ¢�1�� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �/� gd AGENT/OWNER ATE ADDRESS TELEPHONE# � � � APPL. DATE G �G P�IT ND•�Q'j �� ADDRESS ��-� � �TCi� �Sl'%�� .�1�' � � ` OSdNER� � � ' ? � � �^ r NANRE OF WORK r�� C1'CF' /�vf�`f7G�l �_ ` . / � HEATING CbIQTRACTOR _� (��`E � �}-� FUEL: �� OIL ELEC. SOLAR SOLID � > CONDITIONING �ORCED AIR EI.W. ELEC. BASE. STEAM � � SYSTEM RADIANT SUPPL. � A/C VENT � i � f ' CHI,�IEY: " ' "B" DIRECT VENT CON.BURNER � � CALCULATED HEAT LOSS �-(`S'� SYSTEM BTII RATING /D�,GY~O � ;�SISC. � i ` INSP. ROUGFi IN FINAL � �: EST. COST �-�G�r'i. �Y1 PERMIT FEES `�j�G''t'�i DATE PD lJ -l/D � cZE:�1ARKS � i �