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Home My WebLink About0011065-HVAC (furnace) � CITY OF OSHKOSH No 11065 ` PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG [�Q ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS �� PLAN NO. ` OWNER / ClG� �L^ DESIGNER USE/NATURE OF WORK �-�- -�� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �� ✓� • � C r Heat �+, A/C ❑ Vent ❑ FueUSystem -� Heat Loss � �S./ S✓ BTU'S l� [' � ELECTRIC �ONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT —WH —Disp —WSoft —CBasin —�av —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other / FEES: Valuation $ / �� Permit Fee Paid $ l �"�� Park Dedication $ ISSUED BY i�:R--v� Date l`,L�� Final/O.P. ��-� °� l In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �3 ` /'` SIGNATURE � � AGENT/OWNER D E � ADDRESS TELEPHONE# PERMIT N0. _��LAPPL. DATE ��/ '�/,p',� ADDRESS 'n Lf� � � !�7 � � OWNER �i� I a, /� �(J r�� s NATURE OF WORK � HEATING CONTRACTOR ]�(/Q� l�� ".-� FUEL: AS OIL ELEC SOLAR SOLID CONDITIONT.NG�ORCED AIR N.W. ELEC. BASE STEAM SYSTEM � GRAVITY SUPPLEMENTARY AIR COND, CHIMNEY: A" ' DIRECT VENT CON. BURNER CALCULATED HEAT LOSS1 ti' SYSTEM BTU RATING /QI?�if'.� MI S C. —�— INSP. ROUGH IN FINAL � EST. COST1�,� �pERMIT FEES D T PU � L� ,�-r`,�� REMARKS