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HomeMy WebLinkAbout0006912-HVAC ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06912 ~P_E~ _ _ ~L~~ _~ _ ~T~ _~_ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ / rg-;- ~ Of1vhd{t1~ L{/;^TI-55 Jkm~5 ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK fl e4fl/} 0 / /1/ ~U/ /l?me- , ' 5- J=; R~-5 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height , Occupancy Permit Foundation Class of Const. q HEATING CONTRACTOR CdI1~t1' ~~/ C(Jnz~I"'Y Fnc-- ~ Heat ~ AlC 0 Vent 0 Fuel/System /vl- 6-. Heat Loss 41' I1p P BTU'S &~~ / 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 _LTub _ Eject _SS _ Water Other FEES, Valuation $ ~ < crtJ ISSUED BY ~ Permit Fee Paid $ Date ?7-#tl/ I/j--'l/rl Park Dedication $ Final/O.P. #- s. j! , In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE~ ~-' AGENT/OWNER //p.:t/f?% I / DA ADDRESS TELEPHONE # PF;RMlT NO. ~;; 7/.,2.. . . APPL. DATE .~/~~?5 ADDRESS I:?'; j" Orch 0 P cI .. otmER f? Dr '1/5.5 Ikn? -e5 NATURE. OF t~ORK . /-1 ~ tfi-n vz 1 AI e u./ . f-k h1 e- HEATING CONTRACTOR C~hciA0 Td"1al Com.forcr- JAe- FUEL: @ OIL ELEC. SOLAR SOLII> CONDITIONING SYSTEM ORCED AIR RADIANT H .t-l. SUPPL. ELEC. BASE. STEAM Alc VENT CltIMN~Y: "A" , B' DIRECT VENT CON. BURNER CALCULATJ1:D I-IEATLOSS I4i ~p SYSTEM BTU RATING ta ('"J-t'm MISC." ./ INSt'. ROUGH IN EST. COST Y ~ 70zJ ~v-O REMARKS '7