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HomeMy WebLinkAbout0026696-HVAC (furnace & add a/c) � _ CITY OF OSHKOSH N° 26696 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG [� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �A���''G L%J�G�iJ PLAN NO. OWNER��L?17 `,7 Gl�L�- / �7'_ DESIGNER USE,�NATURE OF WORK ��� /U'C �' ��/�^ t��.i�� � ��ZE�'tJ' /-���—' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation _ Class of Const. Occupancy Permit HEATING CONTRACTOR�!'J7 t�/i/ /.ct ..�I�7� Heat �� A/G � Vent ❑ Fuel/System /� � Heat Loss �=pl�� ,/ BTU'S 7���� `� .� ��> lG_. ELECTRIC CONTb�ACTOR— 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 $ ;��7S: 4 '� Permit Fee Paid $ '�5- � � Park Dedication $ ISSUED BY Cy2�'"�—�''� Date /���df�� Final/O.P. I-�`/ ' /�� In the performance of this work I agree to perform all work pursuant to rules governing the described const�uction. SIGNATURE� /���� �/ AGENT%OWNER DATE � ADDRESS /l c�!� � � ���`���� TELEPHONE# PERMIT NO. ,�l.�Ct �!� APPL. DATE-1��'��-�-Q/ ADDRESS �G'��j ,��G�j�'/' `i OWNER /�O 4! 5����� TZ- NATURE OF WORK � /Q f�' F�/'�!��' � S`'/�=���7`Z � HEATING CONTRACTOR�h-j,�`1kCab /�-�`1 FUEL: A '� OIL EC � SOL� SOLID � CONDITIONING�'ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY IR COND. CHIMNEY: ' "� "B" �'IRECT VENT CON. BURNER CALCULATED HE LOSS����S T SYSTEM BTU RATING_��`�"'� MISC � ��? �'�L INSP. ROUGH IN FINAL /_1�1- EST. COST^ �/��G�PERMIT FEES �/� t-� DATE PD c�_ REMARKS I � � t � I i I 0 f I i I � � I I