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HomeMy WebLinkAbout0028125-HVAC ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28125 TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER )-0 It' ~ ~~ /I-/c kP r --/ t..t? h e.- / ;l~ b~r V ? Jg7-kJ'-C'u~,' T-z:- PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK~fi4.f6.~ II U~C-.- IV eU/ k'JtqFe-.~~/ /1jc--=-~ IwyU~ ':7-7: BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const, HEATING CONTRACTOR fv? #//-:77 eh ~ #-~ '<)t-- /.J-/e- Heat ~ AlC ~ Vent D Fuel/System --'JIb'.. Heat Loss ~/1; ,I BTU'St"e: ~ .. j'-' ~ ~h t ELECTRIC CONTRACTOR .t!; Electric Servo New D Change D Temp D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits f! PLUMBING CONTRACTOR _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink _LTub _ Eject _SS _ Water Other ISSUED BY 7 ~ Pp -~ t~ , Permit Fee Paid $ 7 2? ~ ~ Datel-//I&- / '1 ~ Park Dedication $ Final/O.P. ~ - d () FEES: Valuation $ ?;}. 8-S' - 9~ ADDRESS In the performance of this work I agree to pe rm all work pursuant to rules governing the described construction. SIGNATURE ~,AAl;j, ~ AGENT/OWNER l4~ ~ ~.~. ~/1~/9~ DATE 2- 35' r-b ~b1 TELEPHONE # l t\\ 0 APPL DATE 1//7 /ti/ PERMIT MO. ~??I?-r ADDRESS }lot~ I/-ttckC/l'v khY'_ r I' OWNER H". y /'I/'S: 5'fu~.?ki 'I'!'LL./tC 2- r ~ NATURE OF \-1ORK ~J/..~ AI~u/ ~n7e- HEATING CONTRACTOR f&, /?1 U ,?,S' ~H f '5 H~ ;I- ~/C- F~EL: @ OIL .@) SOLAR SOLID CONDITIONING ORCED AIR H.W. ELEC. BASE. STEAM SY$TEM RADIANT SUPPL. C VENT CHIMNEY: "A" CALCULATED HEAT LOSS MISC. INSP. ROUGH IN EST. COST? ~~.".c/-t?) REMARKS PERMIT PD