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Home My WebLink AboutHVAC (furnace & a/c) �� CITY OF OSHKOSH N°_ 40617 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� /� �� I___L��j PLAN NO. OWNER ��1 s2� ST�I�t"h DESIGNER USE/NATURE OF WORK DC�/Q�� vI"s�s c ��/G BUILDING CON7RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit ��,HEATING CONTRACTOR ��'��_�� Heat � A/C � Vent ❑ Fuel/System .�/Il-C- Heat Loss ��-°�� BTU'S �� . � �b v� ,��L 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 $ yy� �� Park Dedication $ ISSUED BY � Date,��4,�1 Final/O.P. ,3� • � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. : � SIGNATURE �/,�� AGENT/OWN �-� DATE ADDRESS TELEPHONE# APP1. DATE , /�.,��- PERMIT 110. �^/�!�/� '; ADDRESS � �� `�/��G Gj� , OWNER �ri�4�2 Gf S�C�Z!2 i°/'' NA1'l)RE OF WORK �Z-�/Qf� �liC'rr.2c,e �/��l�� HEATING CONTRACTOR _ �(/�s'l e y �'�� FUEL: � OIL CC�� SOLAR SOLID CpN0ITi0NiNG ORCED AIR H.W. ELEC. BASE. STEAM SYSTElt RADIANT SiJPPL. CHIMNEY: "A" "B" IRECT VENT CON.BURNER CALCULATED HEAT LOSS ��o�� SYSTEM BTU RATING (�0��'/'�-� MISC. �. � : INSP. ROUGH IN FINAL ��/ ' EST. COST 3�fG'B��JCp PERMIT FEES �il�aG�O DATE PD REMARKS