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HomeMy WebLinkAbout0043959-HVAC (furnace) J�� � CITY OF OSHKOSH N°_ 43959 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� � �� �!/� PLAN NO. OWNER I��CL—�a �S�°-6 DESIGNER USE/NATURE OF WORK�L��� �(1N1�lGc� BUILDING CONTRACTOR � Size Sq. Ft. # Rooms # Stories Height ' Foundation Class of Const. Occupancy Permit 4 HEATING CONTRACTOR��,� S�. ��j,�.//O�'l � Heat A/C ❑ Vent ❑ Fuel/System ��G- Heat Loss��j�S T 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 $ �q�� < <� Permit Fee Paid $ ��� �t� Park Dedication $ ISSUED BY Date 3/�/ `�'.� Final/O.P. �a �g�S S In the pertormance of his work I agree to perfor work pursuant to rules governing the described construction. iy!�__ _ ...�� ar.1���t/ SIGNATURE AG /OWNER ATE ADDRESS " iS � ����7� TELEPHONE N �j � � �APPI. DATE ��/9'� PERMIT ft0. �7 �� � � � C� � ADDRESS �l� G�.�/ �/h �''L�U� � �— � OWNER I��Y� K-GSS _ � —� � � NATURE OF WORK ��7 �t f� ��''[�1ls� t�° � � HEATING CONTRACTOR �C i! /N �7�`- Sj'G T`e0 v, � � FUEL: � OiL ELEC. SOLAR SOLID � � € � CONDITIONLNG RCED AIR H.W. ELEC. BASE. STEAM � SY5TEM RADIANT SUPPL. � � CHIMNEY: "A" "8" �LbIRECT VENT CON.BURNER � � CALCULATED HEAT LOSS�c�,�`' SYSTEM BTU RATING JO�yp-d7 � � MISC. T INSP. ROUGH IN FINAL �`- � � � � EST. COST /2-�/�? �t�p PERMIT FEES `3,� �� DATE PD / �1,� � � � REMARKS F i b �