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Home My WebLink About0012424-HVAC (2 furnaces) � CITY OF OSHKOSH N� 12424 ; `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� L, �i- • I P_ (.[/ y�N � � l�� PLAN NO. : OWNER�l C�i �/ /a ,C� ��Y�'�3 f_' 1��'�/C'� DESIGNER USE/NATURE OF WORK Q� � ��C�' v BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit F�EATING CONTRACTOR L. DOS ,��T,�T Heat� A/C ❑ Vent ❑ Fuel/System ��° Heat Loss��"�SS T BTU'S � 1 ��'� ` °►� � �/� ��'icv�r 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 �7 � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. – C' StGNATUR - AGENT/OWNER DATE ADDRESS TELEPHONE M � PERMIT NU. � �� L,� � APPL. DATE ��fjjP� � /�T. T�- ADDRESS � ��y � �e(.� �p�' /c �� OW NE R � ��'��[�___�/D�Z-°j��/�� ° � NATURE OF WORK �- � .� � HEATING CONTRACTOR �Ops S�/�/�_/• �S%cL�� FUEL: �GASj OIL ELEC SOLAR SOLID � C_/ � CONDITIONING �'bRCED AIR H.W. ELEC. BASE STEAM � SySTEM � GRAVITY SUPPLEMENTARY AIR COND. � CHIMNEY: "B" DI CT VENT CON. BURNER CALCULATED HEAT LOSS ,��c1;f� SYSTEM BTU RATING f�� MISC. /�i INSP. ROUGH IN FINAL G EST. COST� L�_ � PERMIT FEES� A PD ' � � REMARKS � � � � � a � � �