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0016227-HVAC (furnace)
/� CITY OF OSHKOSH N°_ 16227 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG [�' ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I� �� / / 'L°r�'/�� ,1V ' PLAN NO. OWNER—�/�G � � / �Q' /"1/7 DESIGNER USE/NATURE OF WORK 2� !` f9 a� '� , � (�s� 5' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR �' � G Heat '� A/C ❑ Vent ❑ FueUSystem �` 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 $ 4`���~ � Permit Fee Paid $ � 9 �� Park Dedication $ ISSUED BY ��i�9����--- Date � Final/O.P. r— 7— 'J�Q In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �i22/���'�� I l/ AGENT/OWNER ATE ADDRESS TELEPHONE# � APPL. DATEi //�(,� y PERMIT li0.���� � � ADDRESS / �`, ` i � OWNER �� � � � NATURE OF WORK � HEATING COPiTRACTOR_da N x /�,�� q� �-- � � �L• C� OIL ELEC. SOLAR SOLID i � CONDITIONING FORCED AIR x.W. ELEC. BASE. gTg�K SYSTEM RAI)IANT � SUPPL. A/C VENT , � CHI�`iNEY: �� "B" DIRECT VENT � CALCULATED HEA LOSS CON.BURNER ' L���S' �` SYSTEM BTU RATING�'t� lt�p ; NSZSC. � INSP. ROUGH IN FZNAL ` � j EST. COST ;1�/Gcp _ vyp pgR*tIT FEES � . DA� PD � iZE:'1ARKS G 3 , � � ;