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HomeMy WebLinkAbout0010931-HVAC ® ,1,,„' CITY OF OSHKOSH No 10931 PERMIT - APPLICATION AND RECORD 'li TYPE: BLDG ❑ 'HTG ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRES PLAN NO. OWNER � e1 l , a CO t` I2G. DESIGNER ! i ' / { USE /NATURE OF WORK r - / � + ,,te /- �� � � � Oh 41.... f i pa // G / G4 Y/ L.-[.� y L ri 1 0 BUILDING CONTRACTOR Size f Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR ' � / ' . `P op/ `! CSC Heat A/C ❑ y Vent ❑ Fuel /System At a ' Heat Loss H1 III, BTU'S i/ e/A�f�/�'��,C� -. is <. ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits i PLUMBING CONTRACTOR a BT l ! WH Disp WSoft CBasin Lay R' Sh DW DF San. Sewer $ WC f FDr SP Ur Storm Sewer 4 Sink LTub Eject SS Water 4 Other I 1 FEES: Valuation $ - Permit Fee Paid $ ? - C Park Dedication $ ISSUED BY l e Date /d /�yI trr Final /O.P. 1/ L i --4 p In the performance of this work I agree to perform all work pursuant to rules governing the described construction. \\ IV: 11) icl, SIGNATUR k GENT /OWNER / DATE ?g ADDRESS A 0 \ eZ- it V Q- - ( TELEPHONE # PERMIT NO. /© 7 / APPL. DATE ,J�// /X, yo ADDRESS y / OWNER ( a COQ' ✓� l / NATURE OF WORK }� /1 4 - p/', W Y >•t-d / I a h HEATING CONTRACTOR Y _C . fir trill C4 . hG FUEL :OP OIL ELEC SOLAR SOLID CONDITIONING FORCED AIR H.W. ELEC. BASE STEAM . SYSTEM GRAVITY SUPP NTARY AIR COND. a�G r lac 4 ` CHIMNEY: "A" "B DIRECT VENT CON. BURNER CALCULATED HEAT LOSS /Vpp SYSTEM BTU RATING = &apor, MISC. INSP . ROUGH IN FINAL /f gr EST. COST ?gam• PERMIT FEES 4e _ ATE PD /C�l /q/e$ REMARKS Pia/1s J) 2 ch -6/1