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HomeMy WebLinkAbout0043294-HVACj /~ /, CITY OF OSHKOSH No - 432~~ `' PERMIT -- APPLICATION AND RECORD TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~ ~~ .~7 ~~'`/" ~!'Y14 f7 ~7 / / - PLAN NO. OWNER ~~urtJ,~ ~ ~s di`f G~u.~~ ~i~~~~`~cj C,~.^~brT<s~ ~ 1S~'Y,~ DESIGNER USE/NATURE OF WORK n ~ /~'• ~" ~ /I~sF?%~~ ~rn it ~- ~ c~ S ~o BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ~~ ~-~ / ~`l ~i" ~ J~` -mac a`r'm ~J Heat ^ A/C ^ Vent ^ ~i~ Fuel/System / v - C~ Heat t~ y~ Loss _ BTU'S -/~"'~ /'~'s" ~~l ~ ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ 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 $ `~ 7~ ~ CX~ Permit Fee Paid $ j~ y ~ 5~ Park Dedication $ ISSUED BY Date L71 ~f/ 9`~ Final/O.P. In the performance of this work I agree to perform ali work pursuant to rules governing the described construction. rv ~~~ ~f~-~~ . SIGNATURE ~ J ~j ,~AG~E~NT( NER ATE ADDRESS ~.~`' / ~~/ ~ .' ~ ~~ ~/~ ~ 77~% TELEPHONE N APPI, DATE PERMIT tt0._ y~~~~ ADDRESS ~~/`~,j ~''~j~"~~~ OWNER (3n,~~~~ ~ ~7 ~,_ ,. ,• ~., > I _ ~' . NATURE OF WORK ~r G ~ r c>n~~ ~ ~ dfvvs ~ HEATING CONTRACTOR ~`, ~•~~ FUEL: (~~ OIL EC SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC BASE STEAM SYSTEM RAiITANT etronr CHIMNEY: "A" "B" DIRECT VENT CALCULATED HEAT LOSS CON. BURNER MISC. -~~~ SYSTEM BTU RATING INSP. ROUGH IN FINAL ; EST. COST ' f~ t , p PERMIT FEES S Yr 5 Q DATE PD REMARKS~~t;,~ ~ 1. !~ ~ ' -