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Home My WebLink About0028135-HVAC (furnace & add a/c) € � CITY OF OSHKOSH N°_ 28135 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i ADDRESS ��? �f�'�J� .ri l� PLAN NO. OWNER�`f/��" ! te� J`�� !`�d�- DESIGNER USE/NATURE OF WORK �� H �u �L C--- �� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR J ��'`� `,� E'�? ��C s-°h � Heat � A/C � Vent ❑ Fuel/System �-� Heat Loss � 2`/5� BTU'S � � � ��'i�� /4-��_ ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fi�ltures 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 $ 3 !�d• �� Permit Fee Paid $ y� � Ltfl Park Dedication $ ISSUED BY Date�,��1 Final/O.P. `�-� ` p> � In the performance of this ork I agree to perform w k p suant to rules erning the described construction. ��,_,.�.�.� t/��4� SIGNATURE � . AGENT/OWNER � DATE ADDRESS � �� ✓�/v TELEPHONE# . `✓ 7' t�""""/L�. E4PPL. DATE �! '✓` I� PERMIT I10. ��I �,J� AIIQRESS � �� R � 1� � �� I J y��,� NATURE OF WORK �D�/ll�-r'i F-i.>Y'l�t�� /� 'D�G� � �G1/��?'i h�,t' REATING CONTRACTOR� �� I%� Z��r - �JE�,; � OtL ELEC. SOLAR SOLID CONDLTIONING ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPpL' A " " B" DIRECT VENT CON,BURNER CHIMNEY:. A CALCIJLAZED HEAT LASS v:ri��SYSTEM BTU RATING MISC. INSP. ROUGt� IN FINAL �{/�r �� EST. COST �i 7c�0•�� PERMIT FEES�f/Z<<� DATE PD 'G 'j' REMARKS � � I � I i �