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HomeMy WebLinkAbout002162-HVAC ~ CITY OF OSHKOSH N! PERMIT - APPLICATION AND RECORD 02162 TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /?75 5~ tt?ak Wd/tfJo! (2v~cJ" ~&~r~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK f1- t'CI '1-/ h f IV'I! 4/ ;Am e. , /. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Cd hctJ? 'f(?"ja/ Ci?J-1.t ";;'/,y- ~ Heat~ AlC D Vent D Fuel/System II/- t:., ~ Heat Loss /rI JltJ1i BTU'S (;1; artJ ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other ~ ~ FEES: Valuation $ ,...ISSUED BY I, ~ P"O Pe,mil Fee Paid $ . - ~ . Date / / ~ H/ ",/ . /);.tj /y;; Park Dedication $ Final/O.P. / -~ ~ -?1 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~\.9 ~ ADDRESS~~ L~ ~(~~~) ~~- ~~'-D\~ TELEPHONE # PERMIT No.:I#(!};LI? 2- 'APPL. DATE ,/t:7~~~ ADDRESS 1<07,) tPaZwtCivpd rY, OWNER c;.;o 0 t:F' l' - /Z 1/ sch ("on /1 ' NA'l'URE OFWO~ J.J ~ fr '!!t ~ e.- HEATING CONTRACTOR- ~17:l;, %l:;:arr- FUEL: riP OIL ELEC SOLAR SOLID .. CONDITIONING ~RCED AIR . H. W. . ELEC. . BASE STEAM S.ySTEM GRAVITY SUPPLEMENTARY AIR CONDo CHIMNEY: "A" ,~ DIRECT ~NT CON. BURNER CALCULATED HEAT LOSS I!k Jl..pfMJ~e::JSYSTEM BTU RATING 6~?fCJ#C) MISC. INSP. RO~H IN FINAL EST. COST 7'M.~ERMITFEES~/9LC REMARKS