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HomeMy WebLinkAbout0040256-HVAC (furnace & a/c) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECOA'D I : I : TYPE: BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN I : HEIGHT . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - ~ . -- - - - - - - - - - - - i ' i , 6" t? ~ N~ 40256 ADDRESS /JC{'f A/5ne.apL ~t1bBr r- 5fh~lV PLAN NO. OWNER DESIGNER ~Cebrn/fr-e <I--.a:H }f-/e- :7r. USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Class of Const. Occurr Permit Heat Loss j::"~/ ~ r- ,BJU'S /~ ~ <r- ~ :b'/7 /J-/ c- Q HEATING CONTRACTOR /IP J/pC/c t/-~ G-: Heat c& AlC ~ Vent 0 Fuel/System It ~ ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type i I Volts _ Amps ~ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR _BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer I i _ Storm Sewer _ Water I ! i _Lav _WC _Ur _Sink Other _ Eject _SS Ii J . ~ c/-t? J.z ~ d-& .J. i FEES: Valuation $ ~ .. Permit Fee Paid $ "7"/~ Park Dedication $ ISSUED BY ~ -. Dat~/t'#/9Y Final/o.pl:q./.9f I In the performance of this work I agree to perform all work pursuant to rules governing the described lo~struction. SIGNATURE .~~ 7U~~ AGENT/OWNER ADDRESS /.5.3..>. 14. B~T /1-i/c b/~d/t9'f' , , DA"Jt' - , I .;;l3~-7'3 77 TELEPHONE # APPL DATE ~/~"/~r ADDRESS J 3 ~ 'I 8/--.,. ;no p k.. OWNtR . l(t2 ~ -err- '5"fh Ci 1/ NAT!1t?E OF \o/ORI< ~t:eh"rnlee r;-:#dd/f-/e- HEATING CONTRACTOR ~ //4-1/-5 ~ FUEL: t!f) OIL.' ~ SOLAR PERMIT MO. I ".. ~d,.tj-~ I i t ' i i , i I i SOLID CONDITIONING 'f FORCED AIR SYSTEM RADIANT H.W. SUPPL. ELEC. BASE. e STEAM CHIMNEY: "A" "8" CALCULATED HEAT LOSS L=- YJ'1 r MISC. INSP. ROUGH IN EST. COST ;'-&-'Pt!J ~ REMARKS .1