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HomeMy WebLinkAbout0033960-HVAC (furnace) � � � CITY OF OSHKOSH N° 33960 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS '7�!! �/��7 /4 `l c�' PLAN NO. � OWNER v'" PC��Q ���� � DESIGNER t USE/NATURE OF WORK � a f B �Urn Q--L'`� �� � F i $ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR � �' ` � Heat A/C ❑ Vent ❑ Fuel/System /1r- Heat Loss L�!�s� BTU'S CZ'-;� �� . � 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 $ �y"�� Park Dedication $ ` ISSUED BY Date o Final/O.P.T9�9� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. -�c SIGNATURE � AGENT/OWNER DA ADDRESS TELEPHONE# APPL. AATF��I �f�I � PERMIT I�0. � 3 J�'� AOpRESS_._ �4��/ //��h �4 c� OWNER (t-�of"��9 /,�lZSO!� NATURE OF WORK ��¢�� �G�� Qc'� , F.:ATING CONTRACTOR (�(J.e 5`e� �L.�° FUEL: � OIL ELEC. SOLAR SOLID i�� CONDITIONING �'ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHIMNEY: ' "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS_�ii��j SYSTEM BTU RATING �"�ip2'J`C7 MI S C. —'�"- INSP. ROUGH IN FINAL 4 EST. COST ,�yQp O�p pERMIT FEES 3�J��'-c'> DATE PD `' d REMARKS