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HomeMy WebLinkAboutHVAC CITY OF OSHKOSH N4 17534 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG � ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � ��u � �n/"/• � y PLAN NO. OWNER �A� �z' f ���" �. DESIGNER USE/NATURE OF WORK � *-°��'� � /' �m� BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR C���� P'ro %O7G� �c vr,��'��Z�h L-- I, � Heat �' A/C ❑ Vent ❑ Fuel/System�-'-�" � Heat Loss�_ BTU'S 1r ��'`� � � � '�� ELE'CTRIC 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 —Srorm Sewer —Sink —LTub —Eject —SS —Water Other / FEES: Valuation $ � `1�' � �'r`' Permit Fee Paid $ 3� �K� � Park Dedication $ ISSUEDBY ��c ��� Date '���� �y`' Final/O.P. J �� ` !� In the performance of ihis work I agree to pertorm all work pursuant to rules governing the described consGuction. � '7 ` ' O SIGNATURE �� ��`"""-`'�""-�-1_ AGENT�OWNER ATE ADDRESS TELEPHONE# j APPL DATE � � '� PERMIT I40. J���� '��� ] ADDRESS �,��� !% /¢�j��,,�; i3 [ � OWNER ��-�.%'�'✓-� D�':%`. IJi'��i i NATURE OF WORK /�����;�,, : j-�.�, . j:�y.�- HEATING CON�RACTOR /_�,��i?.� � '��„� /n y �:�,��i� -��.i� �7 �� FUEL: GAS, OIL ELEC. SOLAR SOLID � CONDITIONING �,L�'ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM �RADIANT SUPPL. A C CHIMNEY: A" "B" DIRECT VENT CON.BURNER CALCULATED HEAT LOSS jf, �/y�,�SYSTEM BTU RATING j'-;; /�.yi MISC. INSP. ROUGH IN FINAL ;�; -�i-' % :��y`s ;��.,,,j , EST. COST ;� yG%'. s�'Yi PERMIT FEES '�o�c'f DATE PD � 3 � ; , REMARKS