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HomeMy WebLinkAbout0009972-HVAC (a/c) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 09972 ~~P_E~ _ _ ~L~~ _~ _ ~T~ p_ ~~E~ _ C? _ ~~B~ _ C? _ ~'~~ _~ _ ~O_N~N_G_ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS /,??I I .. f)~/ Ih r/'/~L? /? . ,/oCr'( ~/r:/ PLAN NO. OWNER DESIGNER /J-M ill c 5tF Qe5' USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR P / /j J1 rf' L2 u fI-?cj l Heat 0 Ale <1)01 Vent 0 Fuel/System FJ ",:i- Heat Loss t: Yo I' 5 r BTU'S '3 /'><> '7 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 $ , ~t /-5"": 0'-0 ISSUED BY oea~/ ./ V Permit Fee Paid $ J 71. t)LO Date Rj c9 p) #y Park Dedication $ Final/O.P. q- JCj -l?Y In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE J ' t! < +Iff. ( ~ ~ ADDRESS J f, 0 ~ - :;; &>, fJ1 cJ.. (' Y) . 8j;: ,?;! fa? d 3 s~:-...;) fl8 TELEPHONE # PERMIT NO.~ 0 tltl7h_APPL. DATE tJ"J/?<jrY ADDRESS_ 1~1: !krrJ'"" ~NER_ D j t'o /.? ,U I" I' e y "J NATURE OF WORK /J/"J cll4/ c / ~EATING CONTRACTOR P/aMt'fF><4 1'+7 FUEL: GAS OIL ~ SOLAR SOLID ~ CONDITIONING FORCED AIR R.W. ELEe. BASE STEAM SYSTEM GRAVITY SDPPLEMENTARY 'flUR CONDo = CHIMNEY: "N' "B" DIRECT VENT CON. BURNER CALCULAtED REAT LOSS_ (f: "'{ ';; r _SYSTEM BTU RATING_11?:N2 MISC. INSP. ROUGH IN FINAL EST. . cosf-f{;.}5:(:~PERMIT FEES /7, P-O DAT REMARKS _ - --