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HomeMy WebLinkAbout0002984-HVAC (vent damper) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 02984 TYPE: BLDG D HTG.~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - '- - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 9' tJ.rJ Ht/ "1 !-; f1 CJ 'bn , / Lu,'-r/~OCV S'.k; PLAN NO. OWNER DESIGNER USE/NATURE OF WORK {/ .e n f /)0 f7t-1 ~ /'? 5 r rRes BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. .. HEAT!:NG CONTRACTOR r-ee/D - ;Z ef1Tn t:!- r \; l~eat ~ NC D Vent D Fuel/System f/-O: Heat Loss /Z Y/5'"i: n 7 /' BTU'S 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 _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other FEES, Valuation $ -?~. O'r:'/ ISSUED ByZ- t Permit Fee Paid $ . Date I /t:? ~. J !/- / fJ.{;. / cr 7 v / ./ . Park Dedication $ Final/O.P. ,"'}-j f{ -'ill In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~1t'~ AGENT/OWNER ADDRESS c? / JLf:I ? 7 TELEPHONE # PER.'t1T NO. ~ ~9fY AP~~. DATE~!~/)"7 t?CJ,~ ,/IDYl i1hfYeh, , " 11/I'jk.oU/5,k/ :O:~~iX~z~:ar;e~n.j1~r<; FUEL.: G OIL Eue. SOUR, SOLID ADDRESS , , mJ"NER aRCED AIR H. w .t:LEC. BASE. STEAi.'1 RADIANT STIPPL. Ale VENT CHIMNEY: ' I "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS H<.[)/ '$ j) fl 9 SYSTEM BTU RA'l'ING MISC. ;' INSP. ROUGH IN FINAL EST. COST t2- '7 C-~ o"tJ P'ERMIT FEES ~/t?". 7 . REMARKS ',I