HomeMy WebLinkAbout0005840-HVAC (chiller)
~
CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
05840
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER
6't?o
Ikl/dav
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
0.r/ac~ Ch//ler
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Qccupancy Permit
Foundation
Class of Const.
'HEATING CONTRACTOR r c: , HI" r fif -;fj;
r~ Heat D A/d~ Vent D Fuel/System ~ - e - Heat Loss ~ JtjJp
BTU'S ?.?7 ml?
.
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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
I
FEESo Valuation $ ? if: (~ lM' Pe,ml' Fee Pa'd $ ~,6-'2> .;
ISSUED BY ~ a ~. . Date t? '/~~ %'" '7
Park Dedication $
Final/O.P. /,2-.;(:;,-'87
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~~~ It/:.:pf7
AGENT/OWNER
ADDRESS
TELEPHONE #
PEi{MITNO. ~i8;-./t) APPL. DATE ~bol,y7
(lcJ-O $: ~ ~ I/e r I2J
OWNER ,. /kJ,.J~n. . .... .
~A11lRE()f W!lRK .',.. e a/lieF' rf'e/' ff/~
HEAtING CONTRACTOR E C- .N -e JI" I/' / II ~ /
FtJ3L: GAS OIL SOLAR
ADDRESS
SOLID
COVDITIONING FORCED AIR
SYSTEM RADIANT
H.W.
SUPPL
ELEC. SASE. STEAM
C VENT
CHIMNE\': "At "B" DIRECT VENT CON. BURNER
~~~~~LATED HEAT LOSS l17 .#tfJ SYSTEM BTU RATING 7,lj'l '/@~
INSP. ROUCH IN FINAL;J-
EST. COST f;l ~..~PERMlT FEES I?,;l~/-. riA. T E I'D ~P?.1F7.
REJ1ARKS 0 J. . . o. If/;tf/~?
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