HomeMy WebLinkAbout0043106-HVAC
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N~- - 43106
FLOOD PLAIN
TYPE: BLDG 0 HTG-p ELEC 0 PLBG 0 SIGN 0 ZONING
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ADDRESS
j. 16-(, ..- ~/j-&,
5ec (/(/'~' f /'
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK--1J: V tJ...J!- AI ~U/
{)u 19 (e;p
I
BUILDING CONTRACTOR
Size Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
~,
Foundation
Class of Const..
'.
HEATING CONTRACTOR.--J3 r~ e r .u- "7
~ Heat tjll AlC 0 Vent 0 Fuel/System Al. C.
Heat Loss A- 5' i~ P
BTU'S ,,".~ j'tP ~ 4~
,. .
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
FEES: Valuation ~tH? CJ-t)
ISSUED BY ~
/
Permit Fee Paid $ t; I L ~ j
Date /j-/~/9o/
Park Dedication $
Final/O.P.
In the performance of this work I agr e to perform all work pursuant to rules governing the described construction.
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SIGNATURE
ADDRESS
TELEPHONE #
AP}ll~ DATE
PERMIT MO.
1 ~/ Iv! 'tf
.
ADDRESS ?- r;
OWNE r f e c- V JA I --f... Y /Ir? ~I"--. S
NATURE OF \-lORI< /;f::I/..Jt~ G, IV ~ U...,I D V f/I-e V
HEATING CONTRACTOR ~p~.rt'?-r ~ . -
FUEL: ~ OIL ELEC. SOLAR SOLID
CONDITIONING
SYSTEH
RCED AIR
RADIANT
H.W.
SUPPLe
ELEC. BASE.
A C
STEAM
CHIMNEY: "A" "B"
CALCULATED HEAT LOSS fk' iHItHJ
MISC. -rr-
INSP. ROUGH IN
EST. COST 7"6 p~ . cJ-(fJ
REMARKS
IRECT VENT, CON. BURNER
SYSTEM 8TU RATINGJl~t'Jt1t?-&t
FINAL ?-
PERMIT FEES U L C"'t!
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