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HomeMy WebLinkAbout0028922-HVAC (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28922 TYPE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG 0 HTG Iff ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- OWNER 8f 9 Ht!H/1'¿'5"~ prv¡ ¡1 F'dy )<ol/l PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK J{kÞcP 11-:-1 ( .5-F BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Canst. fJ--I'9 y- j:}-j C- Heat Loss ¡ç-y I '5 1 BTU'S :;. Ì'P YJ We HEATING CONTRACTOR r:Z~7 Jjl v S 7 e /1 ~ e Heat 0 AlC cp Vent 0 Fuel/System E/ 7",- y- ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Voits - Amps - Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _Lav _WH _Sh _Dlsp _DW _WSoft _DF - CBasin - San. Sewer _BT _WC _FDr _LTub _SP _Ur _Storm Sewer _Sink Other _Eject _SS _Water FEES: Valuation $ 1[,?'é7, c.A.eJ ISSUED BY ~ / Permit Fee Paid $ "j/~ c?-éJ ..¡' Date ,.f;/Þ- 9./ 9 ~ Park Dedication $ Final/O.P. ~ In the performance of this work I agree to perform all work pursuant to ruies governing the described construction. SIGNATUR~~ Ct. ~ ,JY2.e;'r-- ~ AGENTlO]"R ADDRESS \ 0\\ <' f 1- '- ~ ./ ~-b7/ 9ßl-. " DA1'E ~~5 ,A-rW1 TELEPHONE # ,?l f& ¿/l. ~ ADDRESS OWNER NATURE OF ImRK HEATING CONTRACTOR C; ~ SOLAR SOLID FUEL: GAS OIL CONDITIONrNG SYSTE~I FORCED AIR RADIANT H.W. SUPPL. STEAM CHIMNEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS £'10""7/ SYSTEM BTU RATING 1Z ron Mrsc. . INSP. ROUGH IN FINAL EST. COST I&M. c.J.& PERMIT FEES ,.j../, 0-& DATE PD REMARKS 1J.-