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HomeMy WebLinkAbout1994-HVAC (add a/c) S�i I CITY OF OSHKOSH N° 4 �� ��5 � PERMIT - APPLICATION AND RECORD I TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONWG FLOOD PLAIN HEIGHT �II - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i ADDRESS � ��� �i /�t �/�t'I r�i PLAN NO. � O W NER � f'< <? `r y G�!72.4' i� �'' —Tr � ! DESIGNER II USE/NATURE OF WORK ���� // �C_— � BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height I Foundation Class of Const. Occupancy Permit i i q HEATING CONTRACTOR � � �'f ��2�'�� ��'� ���J�% Y"-� /7�C II � ' / II Heat ❑ A/C �' Vent ❑ Fuel/System �'-�- Heat Loss / �jt��� BTU'S ` - L �i ELECTRIC CONTRACTOR I 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'$ l/4'4'l�- �� Permit Fee Paid $�� r/�"� Park Dedication $ ISSUED BY � '`' Date��'` �� �S� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ����-'��A�'``� "��/6�_ICi.Y/X��`- G' � p� _ AGENTIOWNER Ah ADDRESS �� � � ���� �� � � � � ' � TELEP ONE u APPT, DATE�4,L��/�'�� PERMIT N0. ��f �``� / ADDRESS I �I `� L^+ l�'t ` � 4 OWNER �/r c"r t� �c�. •/G�1%%c' '1 -- NATURF OF WORK /K-�c/ tt�� ,, �� ;,� � HEATING CONTRACTCIR )"�'�i/A� '`it�t�' �/ Y � FUEL: GAS �L��.�� ELEC. SOLAR SOLID CnNDL'fIONtNC FORCED ALR H.u. ELEC. BASE. STEAM SYS'["E!t RADIANT SUPPL. A C GNIl1NEY: "A" ��B" DIRECT VENT CON.BURNE' CALCULATED HEAT LO55 /_'"���`� SYSTEM BTU RATiNG � � J`=`' - MLSC. INSP. ROUGH IN FINAL j � ���5 EST. COST G�-��S= � "G pERMIT FEES t-% � �'< DATE PDc`"�� � � ='� REMARKS