HomeMy WebLinkAbout0028004-HVAC (a/c)TYPE: BLDG ❑ HTG [�p ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS l U o � Z e/ �y PLAN NO.
OWNER
i
USE /NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
HEATING CONTRACTOR 1`1 a t! )C
Heat ❑ A/C W Vent ❑ Fuel /System
# Rooms
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
# Stories Height.
Class of Const. Occupancy Permit
Heat Loss �" c f BTU'S
Volts
PLUMBING CONTRACTOR
BT
WH
Disp
WSoft
_Lav
Sh
DW
DF
e WC
FDr
SP
Ur
Sink
LTub
Eject
SS
Other
Circuits
Amps
CBasin
San. Sewer_
Storm Sewer
Water
FEES: Valuations $ a L & rCo Permit Fee Paid $ji=b Park Dedication $
ISSUED BY /° Date � ��2 Final /O.P. `7 112.3
In the performance of. this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
le �
DATE
ADDRESS
TELEPHONE #
APPL DATE 'y -�� PERMIT 140. y
ADDRESS—
OWNER 4
NATURE OF WORK & e �G
HEATING CONTRACTOR X. A-4 a2
FUEL: GAS OIL <::� SOLAR SOLID
CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM
SYSTEM I RADIANT SUPPL. T
CHIMNEY: "A" "B" DIRECT VENT CON.BURNE
CALCtI,ATED HEAT LOSS_ Ac4(c4 ` SYSTEM BTU RATING
MISC. -
INSP. � ROUGH IN FINAL /i`
EST. COST X jp�e PERMIT FEES �1G , CW DATE PD f
REMARKS