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Home My WebLink About0013475-HVAC (replace furnace) � � CITY OF OSHKOSH No 13475 `' . PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ` /1� � ADDRESS / Ol � / �� G��r� Q PLAN NO. OWNER �' � � DESIGNER USE/NATURE OF WORK � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit ! HEATING CONTRACTOR Heat � A/C �Vent ❑ Fuel/System Heat Loss ��.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 Dedication $ ISSUED BY Date Final/O.P. �o �� ' ��Y In the performance of ork I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � AGENT/OWNER D ADDRESS ��a-S �� r�✓ yry s,�l��0 6 TELEPHONE� r PEKMIT N0. �� f ,��_APYL. llA'1'�:`��7�"i�TT _ � ADDRESS �� _�j�C f� "`_.____.T OWNER ^ O�� .';�C,��It�� -- � �- NATURE OF WORK ,�r��G J��f'�f��`�' c � HEATING CONTRACTOR �/f f�� yC� ,�N,`�' � ( ,�,+.rl�:��c• J / FUEL: t� OIL ELEC SOLAR SOLID CQNDITIONING �'ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR COND. CHIMNEY: "A" "B" �IRECT VENT CON. BURNER CALCULATED HEAT LOSS ��,�c��,SYSTEM BTU RATING�� MISC. INSP. ROUGH IN FINAL � `" � " EST. COST �� ERMIT FEES��.,{�"„t�t DAT PD � REMARKS I � � � � I � I i � � i I � � I