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HomeMy WebLinkAbout0038059-HVAC (furnace & a/c) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 /JC7~ 38059 TYPE: BLDG D HTG %l ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , ' OWNER ??,J / /J-t; rl1 h' 7V-/ ~V e r eil Z-e-/ /4? r: Y' PLAN NO. ADDRESS DESIGNER ~/aC-F?- FC/vhac~ cr IUd' -He-- 7-F-- USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ~HEATING CONTRACTOR H a r '-t /l--If t:- Heat EF! AlC ~ Vent D Fuel/System lit- 6, Heat LOSS.J:y; I ~ r BTU'S &.~ ~ ~' ft Y; f;."./M n/L r: 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 / - ,/ Permit Fee Paid $ ~ ~. ~ , Date ;-//7/ ?f Park Dedication $ Final/O.P. ;).: I~ - 94 FEES: Valuation $, ~ - c.>-o ISSUED BY ~ In the performance of riS work I agre~ to perform all work pursuant to rules governing the described construction. --(b;- ~/17/9? SIGNATURE DATE ADDRESS TELEPHONE # PERMIT liO. ~_?? e:' 6"c;' ADDRESS OWNER NATURE OF to/aRK FUEL: SOLID ELEC. BASE. C STEAM CHIMNEY: "A" "8" ybIRECT VENT CON. BURNER CALCULATED HEAT LOSS E'Y/~r SYSTEM BTU RATING ~ ~ MISC. INSP. ROUGH IN EST. COST ~&--~ -CI-f:) REMARKS