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0022070-HVAC (furnace)
� CITY OF OSHKOSH N° 22070 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� f7+ �'c''f�'f�!� // PLAN NO. OWNER .TG !? ,�: GC✓P;' / ��7er / DESIGNER USE/NATURE OF WORK��QC P f�C%�M�9!c � � /—� r - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation_ Class of Const. Occupancy Permit HEATING CONTRACTOR �° J � Heat � A/C ❑ Vent ❑ Fuel/System /`i-� Heat Loss� ]�c �f BTU'S �� 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 $ ����.. G='� Permit Fee Paid $ �f� G`� Park Dedication $ ISSUED BY E, - Date / Final/O.P. ���f�I'l' In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. / -� , --r� SIGNATURE �- � �E�-�'-� � — y�/-- � AGENT%OWNER ATE " ADDRESS TELEPHONE# APPT� DATE�� � PERMIT I�O. ,?�'/` L� �� ADDRESS /��5 ������� � OWNER �C�'f9 �'- ��-�'�rr ,�Cc � v NATURE OF WORK � �c•� ��Y��r� � HEATI NG CONTRACTOR I.L.��g��,� �� FUEL: (�� OIL ELEC. SOLAR SOLID CONDITIONING �ORCED AIR }i.W. ELEC. 13ASE. STEAM SYSTEP1 RADIANT SUPPL. A C VENT CHIMNEY: "A" "B" YbIRECT VENT CON.BURNER CALCULATED HEAT LnSS �)c`s� SYSTEM BTU RATING Z� C�� MISC. INSP. ROUG}1 IN FINAL � ��/ EST. COST�f�lrt✓ �c�j PERMIT FEES ,tl< <-^� DATE PD / C REPIARKS � I � �