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Home My WebLink About0002004-HVAC (flue dampers) n CITY OF OSHKOSH No 02004 `' PERMIT - APPLICATION AND RECORD - TYPE: BLDG ❑ HTG �} ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �D� 1�• 0 /�'1 7/ ' PLAN NO. OWNER--IJe-�/�4/� �DG(!a� DESIGNER USE/NATURE OF WORK �O /v � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �(�� S • %��// y� J � �___ � Heat � A/C ❑ Vent ❑ Fuel/System /l��. Heat Loss js � 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 - Date � � Final/O.P. � / � '�� In the performance of this work I agre�to perform all work pursuant to rules governing the described construction. ,,' � ` SIGNATURE � �� AGENT/OWNER DATE ADDRESS TELEPHONE# PERMIT NU. �Q��{�� APPL. DATE ��f /�p T ADDRESS �0�,� �✓' (�� ,��. owr�x �' �NQ� }�oc.cir� / NATURE OF WORK �� e �Cj/y� ��f^,S' HEATING CONTRACTOR ��ps ��I:�J��. FUEL: S/ OIL ELEC SOLAR SOLID � CONDITIONING�RCED AIR H.W. ELEC. BASE STEAM SySTEM RAV�— SUPPLEMENTARY ' AIR COND. CHIMNEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS SYSTEM BTU RATING MISC. INSP. RODGH IN FINAL EST. COSTg�f�p. � PERMIT FEES /p. � DATE PD REMARKS