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HomeMy WebLinkAbout0041276-HVACNo - <;~-~ /~ CITY OF OSHKOSH - 4~2 ~6 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG (,~ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS PLAN NO. OWNER ~~,`~~ , DESIGNER USE/NATURE OF WORK ~` ~' /~-G ~ C!/ l~i~l'jZ B BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit EATING CONTRACTOR ~ N r~~u P. /` Heat "~ A/C ^ Vent ^ Fuel/System ~ Heat Loss BTU'S ~° `'fl 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 $ ~-~~ . ~~ Permit Fee Paid $ s~c~~ !J~ Park Dedication $ ISSUED BY Date ~ Final/O.P. In the performance of this work 1 agree to SIGNATURE ADDRESS all work pursuant to rules governing the described construction. AGENT/OWNER ~ qL DA TELEPHONE ~ APPL DA'rF ~/~G~R Y _ PER3rQT'~ . _ / ~~~Co anDRESS t ~ ~'h^ 7'~ `.~.~ ~i Tom.,.. `/ OWNER' NATt~E OF WORK •. G ~ ~~ ~ ~, HEATING CONTRACTOR (.t/ FUEL: ~ OIL ELEC. 'BAR SOLID CONDITIONING ~JFORCED AIR :~<HW. ELEC.- BASE. STEAM SYSTEM RADIANT S _ GHIPINE~: "A" "B" _. RECUT CON. BURNER CALCULATED HEAT LOSS-~~~~ ~jh-----BEM BTU RATING ' U!/`~ MISC. ''~'T INSP. ROUGH IN F~iR;i. ~ EST. COST.n2O~p'r~,Q~ pgq~? gR~ ,~ DATE PD [tEMARKS