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HomeMy WebLinkAbout0010568-HVAC (a/c) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 10568 ~P_E~ _ _ ~L~~ _~ _ ~T? _~ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER 8 J t!J I lIP /' /l/(5& /? lZe-C;ve- Mc/ pIe- 9'; - PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK 51? ~5' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat 0 NC r)r Vent 0 Fuel/System Heat Loss ~o.?l (') '7 BTU'S .::z T27r; '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 $ / I( t'J(11~ ~ Permit Fee Paid $ I/;~ .v/ '~cpp~ Date~~? Park Dedication $ Final/O.P. (6 -;< 7- "?is ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~r~ AGENT/OWNER ~/k? / DATE . ADDRESS TELEPHONE # ~I --/ Q'! I PERMIT NO. _ I t? ,; (;? f) '_APPL. DATE ADDRESS ~i 0 / f/a r f'I '.,,, f? :: OF WORK !JjV;;/r- HEATING CONTRACTOR _ T ~e--/p.. -- -:7 ~ 0 TrJ ~ r ',FUEL: GAS OIL .@' SOLAR SOLID qli/ ~X- , , $~ ~: CONDITIONING ~ED A~;- R.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY ~IR COND. CHIMNEY' "A" "B" llIRECT VENT CON. BURNER CALCULATED REAT LOSs_C'f> ,'5" r-_SYSTEM BTU RATINGY T<!h MISC. INSP. ROUGH IN FINAL tJ EST. coSti/o&:'o^Q.PERMlTFEES-J!., W_ ATE PD 1'/P W_ REMARKS = = -=- -=