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Home My WebLink About0015917-HVAC (furance) � CITY OF OSHKOSH N°_ 15917 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� u �, �p �� PLAN NO. OWNER � � � �7/�� DESIGNER USE/NATURE OF WORK � Ur � �' °� - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �'�"�II�"'� L�G � Heat � A/C ❑ Vent ❑ Fuel/System Heat Loss �ti��?� BTU'S�� ELECTRIC CONTRACTOR =Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fi�ures 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 $ 3�° � Park Dedication $ ISSUED BY Date 1��/a.� Final/O.P. � � �'" �� in the performance of this work I agree to perform all work pursuant to rules governing the described consti uction. : SIGNATURE �,%1� ��^'� �� AGE WNER D ADDRESS TELEPHONE# APPL. DATE�// ��l `/ PERMIT 1�0. �,�y� � ADDRES S_ � �/� � �V_�,� ,(�f"a �� OI�NER _ �, � �z° ��i, f" NATURE OF WORK ��/_ _ Q� � �i�'�`� ��r�v h� � -�..— HEATING CORTRACTOR�i � FUEL: GaS IL ELEC. SOLAR SOLID � CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CFiIiKNEY: �� "B" DIRECT VENT CON.BURNER � CALCULATED HEAT LOSS��c!'s`�`' SYSTEM BTU RATING_/�/p� � .�4ISC. . � I�TSP. ROUGfi IN FINAL 7 EST. COST � � �-Q� Gxi pEgMIT FEES `�'/, �� DATE PD REMARKS �--- � � �