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HomeMy WebLinkAbout0031543-HVAC (furnace & a/c) /� CITY OF OSHKOSH N°_ 31543 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � J d � � C!G k $Ol�1 � /�• PLAN NO. OWNER �`� �//'L�� /``��l�l7 DESIGNER USE/NATURE OF WORK I'�dQL � �vN'1�1�G� � NY'rG� �/G �7 ��'S BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �'�� �T �7� / �!a� Heat [� A/C [� Vent ❑ Fuel/System /Y• � Heat Loss ��°��`� BTU'S 7✓�i�� G�� �!� /�<L • ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps 1 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 $ �.��- r�� Permit Fee Paid $ �� �� Park Dedication $ ISSUED BY E;�?=�- Date l ,� �/�- Final/O.P. �a� ':� yo2 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �, / � � � ' SIGNATURE � `�%�°�`�''' I � � A NT/ WNER ATE � ADDRESS � � ' -' TELEPHONE N � � APPL DATE �[�9L PERMIT �i0._ ��✓��� � ADDRESS O L ph � OWNER�T������� ��..,v� ri �� � �� NATURE OF WORK � /��G � HEATING CONTRACTOR EyT, S ��O h � � FUEL: GA OIL �� SOLAR SOLID � � � CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM �' � _SYSTEM RADIANT SUPPL. C VE p � - � � CHIMNEY: "A" "B" yBIRECT VENT CON.BURNER k CALCULATED HEAT LOSS ����.�r SYSTEM BTU RATING � � MISC. INSP. ROUGH IN FINAL � ,� � � � EST. COST /���p. Gcp PERMIT FEES �c,/p� � DATE PD/ � REMARKS � � � � �