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Home My WebLink About0011409-HVAC (furnace) CITY OF OSHKOSH � PERMIT - APPLICATION AND RECORD N°- 11409 TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - VJ � ° ADDRESS ��` ��--� PLAN NO. OWNER C�r!�r'Q � f� DESIGNER USE/NATURE OF WORK �C �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR < `�` � J`� � ' Heat� A/C ❑ Vent ❑ Fuel/System Heat Loss_, K��S � BTU'S � � 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 $ �`� �� Park Ded'+ca�ion $ ISSUED BY Date q �� Final/O.P. ��' � `�� In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. � SIGNATURE c�ti._ a—�^-�u� � � AGENT/OWNER DAT i � ADDRESS ` � � � � �� ` � S� S�(� �- TELEPHONE# PERMIT NU.�J��/a APPL. DATE �j�� ,-- �f € ADDRESS �Q� , l/ / �?��/i �/f - � . � � OWNER f"��? � � NATURE OF WORK (C�C� �>�y��G �� C; ,� � HEATING CONTRACTOR ,��,S�,J�'l�� 4� •r�-�� FtJEL: AS OIL ELEC SOLAR SOLID � z � � € � CONDITIONING'�j�bRCED AIR H.W. ELEC. BASE STEAM ; SySTEM � GRAVITY SUPPLEMENTARY AIR COND. � � � , CHIMNEY: ' "B" DIRECT VENT CON. BURNER � CALCULATED HEAT LOSS F��'c� SYSTEM BTU RATING f��l'� � MISC. � � � INSP. ROUGH IN FINAL � � EST. COS1j° ERMIT FEES�,�D T PD � d' � REMARKS � € � � � f, ? �