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HomeMy WebLinkAbout0012703-HVAC (furnace) (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 12703 TYPE: BLDG 0 HTG)Q ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- .1 '? t1& Ii-/! , rH- /~. ~"J ;;Þ ,;;.1-3 ¿J. J~ Œ5-e./ca/ PLAN NO. ADDRESS OWNER DESIGNER USE/NATURE OF WORK 1J.Jf k /:e h~r/1ac-e- "3 F: 62-e>' BUILDING CONTRACTOR Size Foundation Sq. Ft # Rooms # Stories Height - Occupancy Permit Class of Const HEATING CONTRACTOR ~_-e-./ Ct - Z-P. f1 Tn ¥'- r' L Heat ¡Sf' AlC 0 Vent 0 Fuel/System N Ú--. Heat Loss E'f if:r I BTU'S I~ ~ ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _Lav -WH -Sh _Disp _OW _WSoft _CBasin - San. Sewer -OF _WC _FOr -SP _Ur - Storm Sewer -Sink Other _LTub _Eject -SS -Water FEES: Valuation $ ¡ -?¡t/-Ø. c;J-é:) ISSUED BY ~ Permit Fee Paid $ Date I / S' - ¡?'-éJ / ~/~/ /(9 Park Dedication $ Final/OP. "'¿/!fly.'i' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /(! ¡:¿ I AGENT/OWNER ~1j?7 ADDRESS TELEPHONE. NATURE OF WORK HEATING CONTRACTOR FUEL: ~ OIL CONDITIONING~ORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY AIR CONDo APPL. UAT¡'; Il/'7./ ?} PERMIT NO. ADDRESS 5, OWNER CHIMNEY: '{f!j) "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS F.j; k y- SYSTEM BTU RATING It'YJ ~ MISC. INSP. ROUGH IN FINAL /I EST. COST I 90&'. O"V PERMIT FEES {<j'. cPO REMARKS '