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0031626-HVAC (furnace)
� CITY OF OSHKOSH N°_ 31626 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 1 �IO� /1� �°�7�''�SkG PLAN NO. OWNER �c�ro�q� Lf/!1��9i"�,e G, DESIGNER USE/NATURE OF WORK�������irtiac� �� BUILDING CONT'RACTOR � Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR L(J,�,S����-�`"i .r Heat � A/C ❑ Vent ❑ FueUSystem� � Heat Loss 1= 1G/�f b` BTU'S ��� l/�'�`fl " 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 $ �yG`�4'-� Permit Fee Paid $ 1� y•� Park Dedication $ ISSUED BY ���'G Date /�//�/9� Final/O.P. �r� G�� '9o� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �-- SIGNATURE �� f� g� AGEN WNER DATE - ADDRESS TELEPHONE N � r APPT. DATE �1,! �/9� PERMIT I10. �l���� ADDRESS l9D,3 ��(�o b�''�t$��^„� OWNER �,2_i�d/GY �/Cr�j!-rl'�"� �'l NATURE OF WORK ��/�G� �!��"!?Qf °� HEATING CONTRACTOR L�/,�S 1�y ��°-y FUEL: �K J OIL ELEC. SOLAR SOLID CpNDiTIONINC ORCED AIR H.4T. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. , CHIMNEY: "A" "B" IRECT VENT CON.BURNER CALCULATED HEAT LOSS ��,G�`S,T SYSTEM BTU RATINC MISC. INSP. ROUGiI IN FINAL / /r EST. COST `Q(J�O� G�Q PERMIT FEES ��f��0 DATE PD � REHARKS