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HomeMy WebLinkAbout009973-HVAC ~ CITY OF OSHKOSH N2 PERMIT -- APPLICATION AND RECORD 09973 TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - -/- ti~- - - ;; - - - ;P~i :':'~~l- - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - - Frein/< H/dcl/f!/1 OWNER DESIGNER rtJd 14-1 ( 5'-1-' d2es USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR F I 12111'1 Q N .Hl7: Heat 0 AlC ~ Vent 0 Fuel/System ~) t"';. vV- Heat Loss F 'It' '5 T V; BTU'S jL; /y 7'c' !.? t ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ~ / J cRJ /' o/JP~ ?ff Park Dedication $ Final/O.P. q- J q - g~ FEES, Valuation ~ X":}, c--O Pe,mlt Fee Paid $ ~ ISSUED BY -'---~ Date SIGNATURE In the performance of this work I agree to perform all work pursuant to rules governing the described construction. <" ~~ A OWNER /11. 0... (' VI, ~~!( /605 So, :r;Lt ?;,/ P ? DAT . :+35~ ~d-f{g ADDRESS TELEPHONE # f}i/: PERMIT NO. . @ 997:3 APPL. DATE ADDRESS / f'yo 5'< C/c; k u,.paJt?Jcf OWNER r r Q /J k: flY/delle fc, 0 NATURE '. OF WORK 'Ilolc/ I4-/C HEATING CONTRACTOR pja h Ifft:l/1 t-I rz ~ -----..-.-..--."......-.........--.......--.,- ~~// r-? FUEL: GAS OIL SOLAR SOLID CONDITIONING FORCED AIR H.W . ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY '~R COND, CHIMNEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS J3:\t 1'5 t ,SYSTEM BTU RATING ,?- 3jfr ";7. MISC. INSP. ROUGH IN FINAL EST. COST jt{'flr;, veJ PERMIT FEES-L4 P'ODA E PD REMARKS