HomeMy WebLinkAbout0025040-HVAC (a/c)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
25040
TYPE: BLDG D HTG Iff ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
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USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const
Height
Occupancy Permit
Foundation
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HEATING CONTRACTOR fj-j/]/1 t" r, Ct7 //7 I~
Heat D AlC ~ Vent D Fuel/System d~ c..--r
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Heat Loss
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BTU'S 'Y--. /z::J n
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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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ LTub _ Eject _SS _ Water
Other
FEES: Valuation $ / "1 !7??,- 177?
ISSUED BY ~.-"
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Permit Fee Paid $ / '-1,. o--t:J /
Date .>5/ -:;.-gj 9/
Park Dedication $
Final/O.P. 9- ;)0- q,/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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6ATE
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TELEPHONE # .'
ADDRESS
APPL'~ PATE4~ . -, PERMIT NO. /G'tJ ~ CJ
ADDRESS l- ~~ 1- 11-lc-~)1'7 )-.4h e-
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NATURE OF WORK t1c:Pcf nle-
HEATING CONTRACTOR f)-Jn e ~/, 'Cc:t h fl-1-f
FUEL: GAS OIL <!@' SOLAR SOLID
CONDITIONING
SYSTEM
FORCED AIR
RADIANT
H.W.
S'UPPL.
ELEC. BASE. STE&~
/ C VENT
CHIMNEY: "A"
CALCULATED HEAT LOSS
MISC.
INS? . ROUGH IN
EST. COST J ~1)?J. Ot!?
.
REMARKS
"B" DIRECT VENT CON. BURNER
J;: 'Pl51- SYSTEM BTU RATING J- /l:JPJ
.
FINAL
PER..~IT FEES
DATE PD