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HomeMy WebLinkAbout0014240-HVAC (furnace & a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 14240 ~~P_E~ _ _ ~L~~ _~ _ ~T~ ~ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ _ __ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ g~ tf !/61I'FU ~/ Yo 5" / ADDRESS PLAN NO. OWNER pol DESIGNER P efJa,-:e hd-ZQr 6 . tf- /)01:/ /1-/ C- ,7 ~t'~ USE/NATl)RE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. ~ HEATING CONTRACTOR ( . 1 t1 Heat ~ AlC ~ Vent 0 Fuel/System N,.6, BTU'S btJ"p-t3'&9"- ,) ./ j2- 'f-& /? ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 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 _ L Tub _ Eject _SS _ Water Other FEES: Valuation $ ISSUED BY J i ~ Pe,ml' Fee Paid $ . 71;d?' v' . Date & /ftt://tf 7 . / Park Dedication $ Final/O.P. ',- /3-8q SIGNATURE ~OJ-.~ ADDRESS \ ~ \ (S' '- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~~~~k'-- ~~ &/7#J~/ y D~TE ~3~b~0c; TELEPHONE # . PERMIT MO. '!o/j. 'I L) mmER FUEL: CHIMNEY: "A" "B" ~lRECT VENT CON. BURNER CALCULATED HEAT LOSS J.;::F'foil5'J SYSTEM BTU RATING CJ. MISC. . INSP. ROUGH IN FINAL EST. COST ~ ,g Ui!3 ~ ~ PERMIT FEES REMARKS RADIANT H.W. SUPPL. ELEC. BASE. STEAM c.rRfc VENT