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HomeMy WebLinkAboutHVAC 4) CITY OF OSHKOSH N° 18864 - PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG VP ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS `6'a 5 A I/-C f'!27/'1 POP PLAN NO. OWNER CC.1 t i /k✓!2 -e�. DESIGNER l+ USE /NATURE OF WORK Fl Y / /V 'c.(/ `4iz BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR 1 / /L f Heat la A/C 1 Y ` ' Vent ❑ Fuel /System 6 • Heat Loss / o. z BTU'S Go / . 1-- 711/2 /SZlC _ 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 $ i i- t 9 - V Permit Fee Paid $ / 3f / Park Dedica i on $ ISSUED BY ~ i /e `X' Date eV /V 9 1i l Final /O.P. - Ao` - (Q In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE -'4 tJ -' . �� �,` AGENT /OWNER E � TE ADDRESS TELEPHONE # APPL DATE PERMIT NO. /WW: / ADDRESS ,fi©5 Ql'(/,,/Jz1 /1/ A OWNER 1 /4 e /Ve /" NATURE OF WORK A/1/14—,41., /f J' fle y2 , HEATING CONTRACTOR 6z, ps /joy /111 FUEL: eP OIL <EL SOLAR SOLID fr CONDITIONING 4ORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. /C VENT CHIMNEY: "A" "B'i XDIRgCT VENT CON. BU NER CALCULATED HEAT LOSS kr i SYSTEM BTU RATING /a z i-� MISC. /9 ,A .fin /71c- INSP. ROUGH IN FINAL 17/1.;e1=4=-- EST. COST I 2„ c PERMIT FEES • -) DATE PD REMARKS