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0020041-HVAC (furnace)
� CITY OF OSHKOSH N° 20041 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN � ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /� <- t,� ADDRESS_ � ��,� ,� �f ,��- �/� '���;. �I PLAN NO. OWNER—.�, r� (�; �J��/ �7�Y' DESIGNER USE/NATURE OF WORK �- �>�- �'; ��� , , BUILDING CONI'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR r��''',�/j'" �i � :s�� /T' �`--�'- ,�, Heat �Y A/C ❑ Vent ❑ Fuel/System �- ���- Heat Loss ��r'�,��� BTU'S���� il 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 $ T��° '� Permit Fee Paid $ -��� � �'`�� Park Dedication $ ISSUED BY `�`�:��'��� Date � ,�1��� Final/O.P. �` �7� <C'� T� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � � SIGNATURE �`' " F `Z',� � A T/OWNER ` ATE ADDRESS � TELEPHONE# f APPL. DATE ,`y .;'-! ? �' PERMIT NO. ;�/S�� 'I � ADD£�ESS 1� �, � ,,�/ , _ ' i ,� f / ' ; �_ �i %i9�� � ' . /? -,,_ oc�r-GR %� � �, / -_ �°j' r NATURE 0 F WORK ��1���+ ;; �= �i��,��, v HEATING CONTRACTOR �i�/��yr�r,o *=�--�'�?'% � p FUEL: ,GaSi' OIL ELEC. SOLAR SOLID ° �__ r CONDITIONIVG `�'(�RCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. A/C VENT CHI:4NEY: �,a�� "B�� DIRECT VENT CON.BURNER �,__ CALCULATED EIEAT LOSS �-� ���,`� � SYSTEM BTTJ RATING �,��';, �"��,� LII S C. '"'�,,� � INSP. ROUGH IN FINAL � EST. COST ' ��'—�'% ,.r,J PERMIT FEES r �' �°� �' �� � ''� . .�,r, �, DATE PD . ✓ �.`4ARKS