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0009560-HVAC (furnace & A/C)
� CITY OF OSHKOSH No 09560 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG �ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� � � , �� Y0� � PLAN NO. : �,e r h r e�e ��r 7`�v-� i'�l OWNER�, DESIGNER USE/NATURE OF WORK �'CP �L/"�?1'CG � �" ,,� G- �/fr PS- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height : Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR -� `� L Heat� A/C � Vent ❑ Fuel/System - � Heat Loss � �r �5 � BTU'S � l 3�� � � � ELE�`TRIC 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. �J��� ��� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � ,- ,, �- ,�%_ � /r �r �/ SIGNATURE � ' O �U AGENT/OWNER DATE � ADDRESS TELEPHONE# � PERMIT NO.�O J�Q APPL. AATE � ��j�Q'_� � ADDRESS �/,Q /� N e�c� YDY'� /��''z° :� OWNER •z'j"1'� �[GC: �CJ�^��i`E7�I'�I � NATURE OF WORIC ¢ U � k � � HEATING CONTRACTOR � � ; � � FUEL: � OIL EC SOLAR SOLID � } � � CONDITIONING�'ORCED AIR H.W. ELEC. BASE STEAM � SYSTEM GRAVITY SUPPLEMENTARY IR COND. � � CHIMNEY: ' "B" DIRECT VENT CON. BURNER � CALCULATED HEAT LOSS�'�`X�'S�""' SYSTEM BTU RATING ��_�'!' . � r�zsc. 3 � INSP. ROUGH IN FINAL - -� � �,�j.�f�► PERMIT FEES��p-�i�p ATE PD 8 3 E3T. COST—, � REMARKS s � �