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HomeMy WebLinkAbout0021982-HVAC (furnace) /� CITY OF OSHKOSH N° 21982 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG (� ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS f y�� / //�«//C�A h PLAN NO. OWNER /Jd[2 /"! z� 5/ �/^ DESIGNER USE/NATURE OF WORK /��'� ��i/"a�c� UC� �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �``�m G l� ��`l � Heat [� A/C ❑ Vent ❑ Fuel/System /1�� Heat Loss � ���$� 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 i" Date��� Final/O.P. �— �' � In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE � (i(../ ` AGENT/OWNER ATE ADDRESS TELEPHONE# APPL. DATF -�/ PERMIT �0. �/j��-- t���ESs_.__.,�//� � . �.5� �" c-6ar y�,�� OWNER �� � /`"fz° �r �e� NATURE OF WORK l� Q�� ��,,r`� l,I C� � tIEATING CONTRACTOR ���<����7ci �� �-�� FUEL: �AS ' OIL ELEC. 50LAR SOLID CONDITIONING FORCED AIR H.W. ELEC. IiASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHIMNEY: "A" ' ' DIRECT VENT CON.BURNER CALCULATED HGAT LOSS � k=� '��"" SYSTEM BTU RATING �P{�. ���� MISC. � ' INSP. ROUGH IN FINAL � EST. COST /,�C�'�' f�> PERMIT FEES /�_ v� DATE PD REMARKS � 1 I � � � � I f � I I � I � � � �