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HomeMy WebLinkAbout0010697-HVAC (furnace) n CITY OF OSHKOSH No 10697 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG �? ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS , �� ��t�TC�f'� �� PLAN NO. OWNER��/i`�I!`Q/?��.(L�' f� DESIGNER USE/NATURE OF WORK �l� � ��' � ✓� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories HeigM � Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System /y '�• Heat Loss �1�-��S,� BTU'S 4�� � 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 $ ;L1��-�� Permit Fee Paid $ ,�,!1��r� Park Dedication $ ISSUED BY ��r`=� � � Date�-�/�� Final/O.P. ,u '�"�g In the performance of this work I agree to rform all work pursuant to rules governing the described construction. � SIGNATURE ` v �� � � AGENT/OWNER DAT ADDRESS TELEPHONE# PERMIT N0. �Q�f�Z APPL. DATE �`���/��! ADDRESS '"�.�� /����� 1/j�'H� �li.� OWNE R___—_�(�!�.1�/�� J�./�L'�� . NATURE OF WORK ��lyCL_ `vY`i�r c�- � � HEATING CONTRACTOR �.�'y'p� � 17` , FUEL: � OIL ELEC SOLAR SOLID CONDITIONING �ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND, CHIMNEY: "B" DIRECT VENT CON. BURNER CALCULATED H LOSS ���� SYSTEM BTU RATING�p���� MISC. INSP. ROUGH IN FINAL c - EST. COST���d-�'`��PERMIT FEES � �G ATE PD p REMARKS �