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HomeMy WebLinkAbout0003710-HVAC (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N! ,03710 ~P,E~, ,~L~~,~ ,~T~,~, ~~E~,~, ~~B~,~, ~I~~,~ ,~O,N~N~,~, ,F~~~D,~~I~~,I~~I~~T~ ~ 0 I t{«#rI' (J OWNER ~:Z :; - '1:~ :;¡ PLAN NO.- ADDRESS DESIGNER USE/NATURE OF WORK Ur>c¡-f: '17 ,4¡Ç"~;/ ,1-# /?7 ,0 .-' BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR frh7 & f' I /'<1 h ¡/--7j?- ~ Heat-p NC 0 Vent 0 Fuel/System ,¡.,fC- Heat Loss f}.-r ~f?' BTU'S -5-~ ~ / ELECTRIC CONTRACTOR Eikctric Servo Fixtures New 0 Change 0 Temp 0 Type - Volts - Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH -Sh _Disp _DW _WSolt _CBasin _Lav _DF - San. Sewer _Storm Sewer _WC _FDr _SP _Ur _Sink Other _LTub _Eject _SS _Water FEES: Valuation $ / j'<7ç. t/'-{::J ISSUED BY ~L7 ~ . Permit Fee Paid $ Date / /¿.~/ 'J /;J.jtJ 7 / Park Dedication $ Flnal/O.P. In the performance of this work I agree to perform all work pursuant to ruies governing the described construction. SIGNATURE ;£ ~;;-' -£;J-í l;/ J? 7 ,;:z.;t'~~ ð' ¿J c¡ é) ADDRESS TELEPHONE # ~I k PERMIT NO. (!/ '1 7 I 0 APPL. DATE ?-~ 7 ""'" :.:? ß-L~"y; Zöl /¡~~O7 OtmJ;:R -er'I- c.../5'ch NATU¡¡¡¡ OF WORK 1/ J""a'f/k 0/ Alec:U (;t.;1?7¿ HEATING CONTRACTOR IÎ-PHe;t'rn-h tl-j FUEl: @ OIL ELEC. SOLA SOLID CONDITIONING RCED AIR H.W. ELEC. BASE. SYSTEM RADIANT SuPPLe Alc STEAM VENT CHIMNEY: CALCULATED HEAT LOSS MISC. INSP. ROUGH IN EST. COST "/ fJ'1? c<t:J REMARKS ./ DIRECT VENT CON. BURNER SYSTEM BTU RATING jp' ~ , --- -- -- --- /