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Home My WebLink About0001650-HVAC (furnace) � _ CfTY OF OSHKOSH No _ 01650 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� (T�rG�So� PLAN NO. OWNER �•� /% t%�L DESIGNER USE/NATURE OF WORK ��a L� rli,�'h �C�— BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATIAIG CONTRACTOR -� � � � Heat BDA/C ❑ Vent ❑ Fuel/System — Heat Loss � �� BTU'S �l � w � 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. /(— I �' ��o In the performance of this work I agree to perform all work pursuant to rules governing the described construction. _ D� ' SIGNATURE ./�K�t D / AGENT/OWNER DAT ADDRESS TELEPHONE# � (l�� APP L. DATE__��%=Y�� PERMIT NU. �/ l ADDRESS ��j ��_��a�KS�G� OWNER � � `UI�� NATI§RE OF WORK � � �� vnc � -• �' - HEATING CONTRACTOR .� " FUEL: GA OIL ELEC SOLA SOLID CONDITIONING�FORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND. CHIMNEY: ' "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS � SYSTEM BTU RATING��7�� MISC. INSP. ROUGH IN FINAL EST. COST��Tp}7_:____�/�ppERMIT FEES DATE PD � /(� REMARKS