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Home My WebLink About0048003-HVAC (furance & a/c) ,�^/�/�' v — � CITY OF OSHKOSH N°_ " 48003 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� /� eCf�l-�C/ PLAN NO. r OWNER Tim �-th��, DESIGNER USE/NATURE OF WORK / -L" - �r/ � � .� , BUILDING CONTRACTOR �Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � HEATING CONTRACTOR , `�eF/� �ir van�•t Heat A/C' Vent ❑ Fuel/System �` Heat Loss ��/��` BTU'S � * � �} �� 6f1� 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 $ %o L • C� Permit Fee Paid $ �� ` �� Park Dedication $ ISSUED BY Date �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. . ,/ SIGNATURE ��'-�'��,cGs..G� !� `J AGENT/OWNER DATE ADDRESS TELEPHONE N � APPL DATE l.�/�7��5� PERMIT It0. �� ADDRESS '��_ GU . /��[��q _ OWNE R_ _ rl t� /..1`/,�'1Gt e h'/L� f1 -- �,'..�7 NATURE OF WORK r��l�cP �v/'s�aC�� l� HEATI NG CONTRACTOR ��/'�j b/�/�/�h�i� FUEL: � O�IL CE� SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. �A CHIMNEY: "A" "B" �'UIRECT VENT CON.BURNER CALCULATED HEAT LOSS '� SYSTEM BTU RATING '"�G�(i'P� MISC. G� � INSP. ROUGH IN FINAL EST. COST �'J�,j:C17� PERMIT FEES .G'O DATE PD 7 REMARKS