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0027913-HVAC (furnace & add a/c)
� CITY OF OSHKOSH N°- 2�9 � 3 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONiNG FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS !�� l��r/�/ ��/ PLAN NO. OWNER �Cd � f''�L°y DESIGNER USE/NATURE OF WORK I"`�laL� �v�'`�laL� Y'" �✓'��/ �� � / - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR +�-°`� a — �Z���r � ' : Heat � A/C � Vent ❑ Fuel/System �� Heat Loss���/ S�' BTU'S�� �� ,�h � 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����� Final/O.P. y' g J � a In the performance of s w k I agree perfor I or ursuant to rules governing the described construction. `�- SIGNATURE " y � / �— AGENT/OWN� ^ DATE . � �-� � '� �S� �'Zc� ADDRESS � /� � , TELEPHONE N . /� L i�%r� � " APPL DATE 3�/�„L�'� �_ pERMIT ft0. 27/I � ADDRESS AIGI /�7�'�'NG 6� �� � --- f�WNER �L� [�!''1 e L � U4'K�1'c��T- pTATURE OF WORK `f"1�� �° �t�y'C' D�/'�''r a r �? oF:.�j�/�G- HEATING CONTRACTOR J c�/G � �e'�-�rh e�r FUEL: �� OIL LE SOLAR SO[.ID CnNDLTIONING FORCED AIR H.W. ELEC. SASE. STEAM SYSTEM RADIANT SUPPL. CHIMNEY: "A" "B" IRECT VENf CON.BURNER CALCllLATEU HEAT LOSS L�[�!`S J SYSTEM BTU RATtNG !� MISC. �- �� G INSP. ROUGfi IN FINAL � EST. COST ��'�4 C�'O PERMIT FEES `3�c L�'D DATE PD L/ REMARKS