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0009083-HVAC (furnace)
� CITY OF OSHKOSH No 09083 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �`� /� w • /- � L°�! C/l�h PLAN NO. OWNER (�-LP�' / i"/ DESIGNER USE/NATURE OF WORK �3�,J'J,.TlQ Ce ��J^,da 5--� �ZV S �r BUILDING CONI"RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � HEATING rONTRACTOR - �v' t Heat((� A/C ❑ Vent ❑ Fuel/System ,�Y-G`- Heat Loss ��i��,/ BTU'S ��� ���/`� l�•. 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 $ � �• �� Park Dedication $ ISSUED BY Date l � � Final/O.P. � -� U -X�_ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �� , 7�� SIGNATURE � � AGENT/OWNER TE ADDRESS TELEPHONE# PERMIT N0.���C�, ,� APPL. DATE_��/��_ ADDRESS �/� (.�/� /�'�.p/�l�r„ OWNEA �-�f^ �_ NATURE OF WORK ��1Q�� �Uy�ho�� � HEATING CONTRACTOR ����p� — �y���/e� FUEL: AS OIL ELEC SOLAR SOLID CONDITIONING �RCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEI�NTARY AIR COND. CHIt�MEY: ' " "S" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS������" SYSTEM BTU RATING MISC. INSP. ROIJGH IN FINAL p � EST. COS� c�ERMIT FEES,�,I. �pDATE PD � REMARKS