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Home My WebLink About0011478-HVAC (furnace) /� CITY OF OSHKOSH No 11478 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �,.,j 1 /� ADDRESS /��/ v_ TGGK�S.�_!�j �j�� PLAN NO. OWNER r/ �,�<? (>'-L(�U 4�'/" DESIGNER USE/NATURE OF WORK C�C-� !/ Q G �''-- � � � t"e' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � �' � � a Heat`� A/C ❑ Vent ❑ Fuel/System °�' Heat Loss �1`'� � � BTU'S �Q G'fi/�-�� , 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 $ ,� 7� � � Park Dedication $ ISSUED BY Date FinaVO.P. �� '�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ,�C�� "��-�� AGENT/OWNER ATE ADDRESS TELEPHONE# PERMIT NO.� .�� APPL. DATE J/�/ `��_ � ADDRESS � ��. ��/ /!��J,��, � OWNER � � l v,�G��> /,�C�4�i" � ` � NATURE OF WORK ��_� v y�� -� e � HEATJNG CONTRACTOR ��j��A�, �a�pl �a,�� .�` �f'�C � FUEL: �� OIL ELEC SOLAR SOLID � � � CONDITIONING �RCED AIR H.W. ELEC. BASE STEAM F SXSTEM GRAVITY SUPPLEMENTARY AIR COND. � CHIMNEY: "A" "B" IRECT VENT CON. BURNER � CALCULATED HEAT LOSS �.� �� T° SYSTEM BTU RATING � ) � MISC. INSP. ROUGH IN FINAL EST. COST ✓�.G �i�G--fj PERMIT F'EES _ PD / � REMARKS s � � � � �