HomeMy WebLinkAbout0009970-HVAC (furnace & a/c)~ CITY OF OSHKOSH No 09970
`' PERMIT -APPLICATION AND RECORD
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TYPE: BLDG ^ HTG ~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ? 7 (~~/ L° `~~" {~'S'Qf/~~ ~ PLAN NO.
OWNER ~/l~l~I ~ l~?~~/ ~'7
DESIGNER
USE/NATUI
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
Class of Const.
# Stories
Height .
Occupancy Permit
# Rooms
HEATING CONTRACTOR -~+-
Heat ~ A/C ~ Vent ^ Fuel/System ~ Heat Loss ~~G./ ~ST~ % BTU'S ~
~~~ ,~c/.
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles
Amps
Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft
-Lav - Sh DW DF
WC FDr SP Ur
-Sink _ LTub Eject SS
Other
CBasin
-San. Sewer
-Storm Sewer
-Water
FEES: Valuation $ 0 ~ ~~ Permit Fee Paid $ ~~,. ~~~ Park Dedication $
ISSUED BY Date Final/O. P. ~ ~ ~ ~" d ~_
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
ADDRESS
t
~~ ( Q l
DATE
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TELEPHONE #
PERMIT N0. ~ ~ /~7~ APPL. DATE ~/~~/~~
ADDRESS ,,3 /~ ; ~~,~~ ~Y'SOh
OWNER ,~',~f L° ~~ ~h'-1,° 1~ 5,;;~~ s 7
NATURE OF WORK /~£l~ ~~_ ~ ~r'~l~c ~ ~ rh~~ ~.-
i
HEATING CONTRACTOR /G`Ly h ,~' Q~
FUEL: ~~ OIL ELEC SOLAR SOLID
CONDITIONING RCED AIR H.W. ELEC. BASE STEAM
SYSTEM GRAVITY SUPPLEMENTARY IR COND.
CHIMNEY: "A" "B" IRECT VENT CON. BURNER
CALCULATED HEAT LOSS ~- ~!~ `$ `~"' SYSTEM BTU RATING~~'
MISC. , ~~ 1G<~
EST. COST L''~ c~ PERMIT FEES}' ~ D DATE PD
REMARKS