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HomeMy WebLinkAboutHVAC CITY OF OSHKOSH No 10629 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG no ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /6 Z 9 R 1 V € i' n71 !1 12) . PLAN NO. OWNER I (2Y' I X0 "f'- pp ltfr' L 7-4' C k So n X' /2)7297 DESIGNER USE /NATURE OF WORK l e c /Y. 9e C..ly /4/ei, "47,19 e'' - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR (. ' ,,f &7 7 %? / 70f'ilt" 1 L Heat cg A/C (' 1 Vent ❑ Fuel /System N o, Heat Loss / h BTU'S l 7 C /tl `(> 7`- P /.. TG� ,/c. 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 $ f i e I2 Permit Fee Paid $ , / Park Dedication $ ISSUED BY Date M • 16 Final /O.P. -. ? In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE NJ ° Uaf("AAti _ 0e/e, AGENT /OWNER ADDRESS TELEPHONE # PERMIT NO .'/ ©G ,2 APPL. DATE J/1 7 ADDRESS /6 / I' er 7,7 OWNER ,) S4vi k, -,-0)/ NATURE, OF WORK / --Y14. G , / fie ui 119,7 z° HEATING CONTRACTOR /2��� , T��A/ i"� h FUEL: OP OIL EC SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM SYSTEM GRAVITY SUPPLEMENTARY \ IR COND. CHIMNEY: "A" "8" 'DIRECT VENT CON. BURNER CALCULATED HEAT LOSS i f) 5 %op SYSTEM BTU RATING 75 r 9- MISG. ! l� /-7 f�lC- INSP. ROUGH IN FINAL p EST. COSTI4'49/.O' rJ PERMIT FEES ' . ' - D TE PD . - REMARKS •