HomeMy WebLinkAbout0005209-HVAC
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
05209
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HE¡ATING CONTRACTOR /Jh7 e f" ¡ ~ h t~
~ ,Heat~ NC D Vent D Fuel/System A/- .
Heat Loss (h., 11.t ¡:'
BTU'S~)CJ, ~
H 1::: .
.
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type- Voits- Amps-
Fixtures
Switches
Receptacles
Circuits
Î
PLUMBING CONTRACTOR
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
_CBasin
- San. Sewer
_Lav
_Sink
_Eject
-SS
- Storm Sewer
_Water
_WC
_FDr
_LTub
-SP
_Ur
Other
,,- >00 eo. $ n ~ ",.& ~
Date - / p.. Fj 3'7
FEES: Valuation ~~
ISSUED BY
Park Dedication $
Final/O.P. ~'8 /'6']
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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TELEPHONE'
ADDRESS
PERMIT NO. ~ð7d-°7 APPL. DATE 1!j):l-~/f'7
ADDRESS g /:J... H-en iJ """ '/ t"/';'"
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NATORE OF WORK fI. eq i-/ h f IIle u/ Ih m e' ~
HEATING CONTRACTOR 11 Y1? e ""I Ceu-, ¡..j.?y
FUEL: é!!!J? OIL ELEC SOLAR. SOLID
OWNER
CONDITIONING
SYSTEM
RCE-D AIR H.W. ELEC. BASE STEAM
RAVITY SUPPLEMENTARY AIR CONDo
CHIMNEY: "A" ~IRECT VENT CON. BURNER
CALCULATED HEAT LOS Iff Øfp SYSTEM BTU RATING ~ ~
MISC.
INSP . RO~GH IN FINAL .
EST. COST ~ ~. t::IOÉRMIT FEE¡/' ~ Ž . PODATE PD
RE~RKS .