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HomeMy WebLinkAbout0048266-HVAC (furnace) l��� CITY OF OSHKOSH N° � 48266 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS- � �• �� ��/°�- �!/� PLAN NO. OWNER `/,S� L��t��• U1- F �NR ��/ i'L DESIGNER USE/NATURE OF WORK llG� ��/'��!-!tf� BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height �Foundation Class of Const. Occupancy Permit HEATWG C�NTRACTOR Cz.°�'L!�Sl { 2-°s'h �J� ��I"' rjZC, � Heat � A/C ❑ Vent ❑ Fuel/System ,,/�f-� - Heat Loss_� ���,�` 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 $ �S � �� Park Dedication $ ISSUED BY Date ����� 9✓r Final/O.P. ��� -�l �o In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. � ����:� SIGNATURE � '� AGENT/OWNER pA� ADDRESS TELEPHONE M > APPT. DATE l�//J, �� PERMIT t10. yU��lP ADDRESS �� �, /��w y�/� ([� _ �U� OWNER ��• J,�G'O�- l�T Y���G?�?5 �k�TJ�/%'S T � NATURE OF WORK /Q'e _. � - � HEATIN� CONTRACTOR � �i�rc �' FUEL: � OIL ELEC. SOLAR SOLID C�NOITIONINC ORCED ALR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A CHIMNEY: "A" "B" IRECT VENT CON.BURNER CALCULATED HEAT LASS ��v�S'7` 5YSTEM BTU RATING Ct0 `O MISC. � INSP. ROUGH IN FINAL � ' �'/r�i � EST. COST � �� PERMIT FEES ,�' ,� G�B DATE PD// / 1�',f� � REHARKS � � E