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HomeMy WebLinkAbout0021884-HVAC (furnace) /� CITY OF OSHKOSH N°_ 21884 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �Id7 � � �L'• PLAN NO. OWNER l�L/ �S ��G t/a�h � I N��„ ,/ DESIGNER USE/NATURE OF WORK �/l1L � �( I"�'1Q�� �l. �z°S BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit /�� HEATING CONTRACTOR G� � �j!, Heat � A/C ❑ Vent ❑ Fuel/System /�-�• Heat Loss��/�,�T BTU'S ��l.� C, 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 $/ / �U� �� Permit Fee Paid $ L'�� �� Park Dedication $ ISSUED BY � Date��7��1� Final/O.P. 3' �'"!/ In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE �U � r � AG /OWNER DAT ADDRESS_- ! �O � � �'w"� ��S ��/�I�� TELEPHONE# APPL. DATE O PE�MIT �0. ,�f(�8Y � �T q, �;DxESS 1/`� l,v r�'!.h �i�v� OtJ�1ER �. .� � vA?URE OF WORK / HEATING CONTRACTOR �!Q`��`��N �� FLTEL: AS OIL ELEC. SOLAR SOLID � CONDITIONING RCED AIR H.W. ELEC. BASE. STEA:�I � SYSTE�1 RADIANT SUPPL. A/C VENT � � � CHI�?[VEY: ' ' "B" DIRECT VE;1T CON.BL'RNER } CAI.CULATED HEA LOSS_�ypi`S � SYSTEM BTU RATIVG� � � � :?ISC. � � � ZYSP. ROUGH IN FZNAL � � � � EST. COST �Y(Jb • c� PER:`�IT FEES ,�t Q. c�d DATE PD � �:4ARKS � � �