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Home My WebLink About0006932-HVAC (furnace) /� CITY OF OSHKOSH N°_ 06932 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� (/aK� �� PLAN NO. OWNER �C�� " V ��0 !2 ��/"S DESIGNER USE/NATURE OF WORK CC�' a C � 'z—° BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Neight Foundation Class of Const. ` Occupancy Permit HEATING CONTRACTOR �/ v / C � � / =Heat � A/C ❑ Vent ❑ Fuel/System �� Heat Loss� ��S� BTU'S a `� : L� ELE�TRIC 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 $ �fl � Permit Fee Paid $ � < <~� Park Dedication $ ISSUED BY '" Date � Final/O.P. � -� "8� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. i _��V �.,. .� �� ,�.��--�—�._ J SIGNATURE AGENT/OWNER / AT ADDRESS � � � S J � � S� � � � TELEPHONE# PERMIT N0. �(��- APPL. DATE �/� �� ADDRESS��- L��y�(/C� Gf / r}- , O�WNE R �rJ�"/�'✓';/ �>�� v' S NATURE OF WORK ��,/,�j,1 C�- �L��^�'I fr�'�- � HEATING CONTRACTOR ��yyL�,,�;� ��S vL G _�� FUEL: AS OIL ELEC SOLAR SOLID CONDITIONING�ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEI�NTARY AIR COND. CHIMNEY: ' "B" DIRECT VENT CON. BURNER CALCULATED HE T LOSS�X��;'�`" SYSTEM BTU RATING�� MISC. INSP. RO�GH IN FINAL l� EST. COST � , C PERMIT F'EES� .,�/ G DATE PD � . REMARKS