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HomeMy WebLinkAbout0009030-HVAC (a/c) (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 09030 TYPE: ... - - - -' - - - - -' - - -. - -. - - - - - - - - - - - - -. - - - - - - - - - -' - -' - - - - - - - - - -. - - - -' - -- BLDG D HTG l1' ELEC D PLBG D SIGN D ZONING - FLOOD PLAIN- HEIGHT- OWNER ¿fJ f59~ Tèlrn ,L#/ld 4//vr f{J Íl./yl1-7 an PLAN NO. ADDRESS DESIGNER w J}/e- 5 -F æz;) USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR (ðhcÞn l'",,1"a ~ {j-wz';:;"'V Tht: L HeatD NC~VentD Fuel/System £-er Heat Loss Fyt^'S'/ BTU'S '3/<'>/7 ELECTRIC CONTRACTOR Electric Serv, New D Change D Temp D Type - Volts - Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _DW _WSoft _DF - CBasin - San, Sewer _BT _Sink Other - Eject _SS - Storm Sewer _Water _WC _FDr _SP _Ur _LTub FEES: Valuation $ IvPtJ t/-1':) ISSUED BY ~ fr--- / Permit Fee Paid $ It. riJ /' Date 7;/i/ r 7 Park Dedication $ Finai/O,P, 1~7~'5r In the performance of this work I agree to perform all work pursuant to rules governing the described construction, SIGNATURE ~ W ~ AGENT/OWNER '7;;// / PR' , 6ATE ADDRESS TELEPHONE # -- -. ---- ""'" "," '" ~ ¡ Cl - "" "'" tr ~:f PC ADDRESS ?? ~ ¿rid d/Z~ i . ~ OWNER þ'- REATING CONTRACTOR FUEL:. GAS OIL ~ SOLAR SOLID CONDITIONING FORCED AIR R.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY)dàR COND. CHIMNEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED REAT LOSS þ~v:('<:;"'r SYSTEM BTU RATING ~ ñ:J/7 ~~;~: ROUGH IN FINAL '7/7) f?íf = EST. COST~&fV'l7.vaERMIT FEES¡?,~ÙATE PD !",/t1æjX£ RE~~ t / ,//