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HomeMy WebLinkAbout0026535-HVAC (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 26535 TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ADDRESS 1l?~t7 ~C c~~ ~ OWNER k#w~'cL ~1t] DESIGNER USE/NATURE OF WORK ~ !f-/ c- PLAN NO. 5F. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. Fuel/System Loss BTU'SL ~h ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtu res Switches Receptacles Circuits PLUMBING CONTRACTOR _Sink Other _FOr _LTub _Disp _OW _SP _ WSoft _OF _ CBasin L-BT _WH _Sh _ San. Sewer _Lav · _WC _Ur _ Storm Sewer _ Eject _SS _ Water FEES: Valuation $ / ~ ~c/'"t:) Permit Fee Paid $ ISSUED BY ~ Date /t:', p-C) I /~/4/9/ / . Park Dedication $ Final/O.P. j(;)-c;3-Yf In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ADDRESS lq\2) ~~~ ~~'" J-r I .ft.//., /9/ DATE SIGNATURE~g)\(i'" ~ 'Z.~ ~/~ -s-tq TELEPHONE # PERMIT NO. ;Lr, ()3"- APPL. DATE /~/ 1;/ 'f/ ADDRESS .L ?'f 7 /'ic LU }/Tel)' OWNE~ f/ol.varJ /II~//&'r NATURE OF WORKUcI #I c- FUEL: GAS OIL tf20 '7 h2 (./ '75..evz .~ SOLAR fP7 ~ 19--/c. HEATING CONTRACTOR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY )4'IR COND, CHIMNEY: "A" "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS g y;/9 7 SYSTEM BTU RATING;Z rz:,!:J MISC. , INSP. ROUGH IN FINAL EST. COST) 'fJJ-CJ ~v-o PERMIT FEES ~Or~DATE PD ! REMA1tKS