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HomeMy WebLinkAbout0017001-HVAC (furnace) � , CITY OF OSHKOSH N° 17001 `' PERMIT = APPLICATION AND RECORD TYPE: BLDG ❑ HTG� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS �-� �� � `�V��� PLAN NO. OWNER �r t' ��-��� DESIGNER Q U � � 7'� USE/NATURE OF WORK ''`1 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � `` � / _ � Heat� A/C ❑ Vent ❑ Fuel/System Heat Loss � .���� BTU'S ��G�'� 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 � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE C r G AGENT/OWNER DA ADDRESS � � �� �l � �� TELEPHONE# APPL DATE - � � PERMIT n0.�/OO� � ADDRESS � �_, /��- ,�!� � � � � /' � / OWNER �/=£ C� �1=1� !�7 /�G1 � � 3 NATURE OF WORK , yJ� �� -`�jl� ..�_ � HEATING CONTRACTOR i /� / t�h/JJ L_'S S�'�7 S �� � iTlC �/� � FUEL: � OIL ELEC. SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A C � CHIMNEY: "A" "B" �,C[1IRECT VENT CON.BURNER � CALCULATED HEAT LOSS������_SYSTEM BTU RATING G'> > MISC. INSP. ROUGH IN FINAL G h �i� EST. COST /, f�tG`; �`t' pERMIT FEES �-'/� , ��? DATE PD /i REMARKS � �