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HomeMy WebLinkAbout0030003-HVAC (a/c) CITY OF OSHKOSH N °_ 30003 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS r 5 ;O il/ 4 tC_ 0/ PLAN NO. OWNER 5'Q AL dra 46 DESIGNER �, USE /NATURE OF WORK / af BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR t4'#96601 i Cpl i/ .In--4- Heat ❑ NC ❑ Vent ❑ Fuel /System Ark G Heat Loss fr 17` BTU'S /A - /e-- ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft _ CBasin Lay _ Sh _ DW _ DF San. Sewer — WC — FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ f ' — Ito ' . Permit Fee Paid $ PI( CT ( Park Dedication $ ISSUED BY Date e /.� /,0" Final /O.P. ) In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE © 1 AGENT /OWNER Q ADDRESS I WAS-10/14 TELEPHONE # APPL . DATE S/79Y PERMIT NO. 9 or`t7 3 ADDRESS A570 ii/hes OWNER 3t `L a"p4 hew 1Iova/J NATURE OF WORK gad / /c- [,', HEATING CONTRACTOR ep ydow 714.1:7/ a UyArJ FUEL: GAS OIL Ed7 SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE. STEAM SYSTEM RADIANT SUPPL. IOC VENT CHIMNEY: "A" "B" DIRECT VENT CON. BURI} ER CALCULATED HEAT LOSS )5 T SYSTEM BTU RATING i71 I9vt MISC. INSP. ROUGH IN FINAL (O/9f97 EST. COST J574 0 PERMIT FEES l " DATE PD V5 /9 t- REMARKS r