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HomeMy WebLinkAbout0022606-HVAC (furnace) CITY OF OSHKOSH N° 22606 � PERMIT - APPLICATI N AND O RECORD TYPE: BLDG ❑ HTG �7 ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS— �T� � ��k Sf/'/ PLAN NO. OWNER ,U'�"� I�`C f� �t%l K � DESIGNER USE/NATURE OF WORK � Q=C� �G�I�!?Lf C�.�—°— � f'; �' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit •HEATING CONTRACTOR �� � +-°" Heat � A/C ❑ Vent ❑ Fuel/System /t�� Heat Loss �7S/�S!i 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 $ �t'S- �� Park Dedication $ ISSUED BY �-�� Date 7T���/��— Final/O.P. G' ,�- 41 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. n SIGNATURE .-�C�'�iC _ AGENT/OWNER DATE ADDRESS � TELEPHONE# APPL. DATE PERMIT I�0. �,���v aDDxESS f.�/ � J �c,�so�� 0[NER ' � .� ...��, , vATURE OF WORK C�'_ G-�%' c�C � HEATING C�NTRACTOR �,(j.�S��j �-,� �LTEL: � OIL ELEC. SOLAR SOLID CONDITIONING RCED AIR H.W. ELEC. BASE. STEA.H SYSTr':1 RADIAI�IT SUPPL. A/C VENT CHI`�INEY: "B" 'IRECT VEVT CON.BL'RNER CAI.CULATED HEAT LOSS L' �v�S SYSTEM BTU RATING�U KISC. I:1SP. ROUGH IN FZNAL EST. COST �� _ �PJ PER:�tIT FEES � 5� U`-U DATE PD / � �2.�'.?L�RKS